Healthcare Provider Details

I. General information

NPI: 1285759183
Provider Name (Legal Business Name): JON WILLIAM TOEPLER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 N. MITCHELL ST.
CADILLAC MI
49601-0824
US

IV. Provider business mailing address

3600 W ORANGE GROVE RD # 224
TUCSON AZ
85741-2824
US

V. Phone/Fax

Practice location:
  • Phone: 231-775-7688
  • Fax: 231-775-7882
Mailing address:
  • Phone: 231-590-6684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7745
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14153
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD011289
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: