IndividualActive
Thomas Triller, DDS
NPI 1295821759 · Dentist · Beaver Dam, WI
Thomas Triller, DDS is a Dentist provider in Beaver Dam, WI (NPI 1295821759).
Provider details
- NPI number
- 1295821759
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5000575 (WI)
Practice location
140 Front Street
Beaver Dam, WI 53916-2194
Phone: (920) 887-7204
Street-level locationGet directions
Mailing address
140 Front Street
Beaver Dam, WI 53916-2194
Registry dates
- Enumerated
- 2006-10-04
- 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.