DR. Frederick Lowell Thielke, DMD

NPI #1376616219 in Augusta, Georgia

Provider Information

NPI Number: 1376616219
Entity Type: Individual
Name: DR. Frederick Lowell Thielke, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Nov 16, 2006
Last Updated: Jun 8, 2015

Practice Location

Address: 3643 WALTON WAY EXT
City: Augusta
State: Georgia
ZIP Code: 30909-4507
Phone: (706) 738-7129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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