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

Mr. Timothy McMichael Theisen, DMD

Individual provider General Practice Dentistry · NPI 1003259797

Mr. Timothy McMichael Theisen, DMD is a General Practice Dentistry in Erie, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
Specialties on file
5
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4330 Peach St
Erie, PA 16509-1443
Phone: (814) 315-6209
Fax: (814) 315-6303
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS038461 (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DS038461 (PA)
Endodontics Taxonomy 1223E0200X · Licence DS038461 (PA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DS038461 (PA)
Prosthodontics Taxonomy 1223P0700X · Licence DS038461 (PA)

Record details

NPI number1003259797
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

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