MEDICARE: THEODORE JOHN WILLMANN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	16658	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16658	OTHER	OH	DENTAL LICENSE

General Provider Information

NPI Number	:	1013048362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE JOHN WILLMANN DDS

Provider Business Mailing Address
First Line	:	570 E KREMER HOYING RD # D
Second Line	:
City	:	SAINT HENRY
State	:	OH
Zip	:	45883-9613
Country	:	US
Telephone Number	:	419-678-8000
Fax Number	:	419-678-4409

Provider Business Practice Location Address
First Line	:	570 E KREMER HOYING RD # D
Second Line	:
City	:	SAINT HENRY
State	:	OH
Zip	:	45883-9613
Country	:	US
Telephone Number	:	419-678-8000
Fax Number	:	419-678-4409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346244266 — DR. SCOTT DOUGLAS MCCLURE D.C.
Practice Location Address:

570 E KREMER HOYING RD , STE H
ST HENRY, OH
45883-9613

Practice Phone: 419-678-4873
Practice Fax: 419-678-4873

1285814558 — MICHAEL A. FISHBAUGH JR. O.D. INC.
Practice Location Address:

570 E KREMER HOYING RD
SAINT HENRY, OH
45883-9613

Practice Phone: 419-678-8800
Practice Fax: 419-678-4224

1639482185 — ST HENRY CHIROPRACTIC
Practice Location Address:

570 E KREMER HOYING RD , SUITE H
SAINT HENRY, OH
45883-9613

Practice Phone: 419-678-4873
Practice Fax: 419-678-4873

1639150808 — HEALTHCARE VENTURES OF OHIO, LLC
Practice Location Address:

522 WESTERN AVE
SAINT HENRY, OH
45883-9777

Practice Phone: 419-678-9800
Practice Fax: 419-678-9329

1144392754 — DR. KRISTINE L STRAWNIAK D.C.
Practice Location Address:

PO BOX 461
SAINT HENRY, OH
45883-0461

Practice Phone: 419-763-1197
Practice Fax: 419-763-1173

1609030048 — LINDA WELLMAN NPC
Practice Location Address:

442 STACHLER DR
SAINT HENRY, OH
45883-9582

Practice Phone: 419-678-2371
Practice Fax: 419-678-4783

Directions to “ THEODORE JOHN WILLMANN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.