Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glen Theis, DDS

Individual provider Dentist · NPI 1851419238

Dr. Glen Theis, DDS is a Dentist in Brookfield, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

13905 W Burleigh Rd
Brookfield, WI 53005-3036
Phone: (262) 786-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2339 (WI)

Record details

NPI number1851419238
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address13905 W Burleigh Rd, Brookfield, WI 53005-3036

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