IndividualActive
Theodore Haeussner, D.M.D.
NPI 1033270715 · Dentist · Saint Augustine, FL
Provider details
- NPI number
- 1033270715
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN16354 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4 Saint Johns Medical Pk Dr
Saint Augustine, FL 32086-5298
Phone: (904) 797-9009
Street-level locationGet directions
Mailing address
4 Saint Johns Medical Pk Dr
Saint Augustine, FL 32086-5298
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.