Provider Demographics
NPI:1407070634
Name:THEN, VERA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:S
Last Name:THEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 WILSON MILLS RD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2128
Mailing Address - Country:US
Mailing Address - Phone:440-473-0035
Mailing Address - Fax:440-473-0517
Practice Address - Street 1:6151 WILSON MILLS RD
Practice Address - Street 2:SUITE #300
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2128
Practice Address - Country:US
Practice Address - Phone:440-473-0035
Practice Address - Fax:440-473-0517
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH186071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice