David a. Theis, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 5761 Issued in FL

Legal business name

DAVID A. THEIS, D.D.S., P.A.

Practice address

1674 Providence Blvd
Deltona, FL 32725-4961

Phone

(386) 789-5100

Fax

(386) 789-5116

NPI assigned

Sep 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Alan Theis, D.D.S.NPI 1902907843

Title

Owner, President

Phone

(386) 789-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alan Theis, D.D.S.

  • General Practice Dentistry
  • Deltona, FL
  • NPI 1902907843
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740381698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 PROVIDENCE BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254961",
            "telephone_number": "386-789-5100",
            "fax_number": "386-789-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 PROVIDENCE BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254961",
            "telephone_number": "386-789-5100",
            "fax_number": "386-789-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. THEIS, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "386-789-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 5761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Philip Cutolo Jr., M.D.
• D'S Assisted Living of Deltona
• Carol Dangelo, LSW, MSW
• Jamal Rashad Daniels
• Jackson Robert Darden
• Barbara Ellen Davis
• Brittany Marie Davis, LMHC, NCC
• Vanessa Davis, ARNP
• Marie De Jesus
• Raudaliza De Los Santos

• General Practice Dentistry in Deltona, FL
• Providers in Deltona, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.