Provider Demographics
NPI:1285759183
Name:TOEPLER, JON WILLIAM (DDS)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:WILLIAM
Last Name:TOEPLER
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 1:3600 W ORANGE GROVE RD # 224
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2824
Mailing Address - Country:US
Mailing Address - Phone:231-590-6684
Mailing Address - Fax:
Practice Address - Street 1:929 N. MITCHELL ST.
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-0824
Practice Address - Country:US
Practice Address - Phone:231-775-7688
Practice Address - Fax:231-775-7882
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14153122300000X
AZD011289122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist