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

Dr. Michael Jonathan Theiss, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1235628991

Dr. Michael Jonathan Theiss, DDS is an Oral Surgery in Pembroke Pines, Florida. Graduated from State Un of Ny, Stony Brook School of Dental Med in 2018, 8 years ago. Practices with Alfredo Tendler DMD PA, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
8
Trained at
State Un of Ny, Stony Brook School of Dental Med
Licensed in
FL, VA
In the registry since
2018
Specialties on file
4
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.

See every abbreviation used in this directory →

Practice location Address checks out

17901 NW 5th St Ste # 101
Pembroke Pines, FL 33029
Phone: (954) 437-2222
Fax: (954) 437-2244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2600 N Military Trl Ste 350, Boca Raton, FL 33431-6315 — (561) 465-2059

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN26758 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 0442000331 (VA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 0442000331 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235628991
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 8, 2018
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address790 E Broward Blvd, Unit 2403, Fort Lauderdale, FL 33301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolSTATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated 2018 (8 years in practice)
Group practice Alfredo Tendler Dmd Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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