Provider Demographics
NPI:1801985387
Name:TEUTSCH, JEFFERY EUGENE (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:EUGENE
Last Name:TEUTSCH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1472 CEDARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6149
Mailing Address - Country:US
Mailing Address - Phone:925-846-2375
Mailing Address - Fax:925-846-8819
Practice Address - Street 1:1472 CEDARWOOD LN
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6149
Practice Address - Country:US
Practice Address - Phone:925-846-2375
Practice Address - Fax:925-846-8819
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA368411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice