Individual provider · Type 1 NPI

Jesse Alan Thietten, D.D.S

General Practice Dentistry · Fort Carson, CO

NPI number 1699023580 Active

Practice location

1667 Cochrane Cir Bldg 7495
Fort Carson, CO 80913-4603

Mailing address

1052 N Royal St
Alexandria, VA 22314-1530

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901020778 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1699023580

Jesse Alan Thietten, D.D.S's National Provider Identifier is 1699023580, issued on Aug 27, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Carson, CO. The record was last updated on Aug 8, 2022.