Search › Iowa › 122300000X
Marc Thevenin, DDS
NPI 1811281637 · on the registry since 2011
Practice
- Address
- 5270 Elmore Ave Ste 4
Davenport, IA 52807 - Phone
- (563) 209-9000
- Organisation at this address
- Lm Smiles Pllc
Patel-Shah Dental Iowa PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 16473 W 159th St, Lockport, IL
- 1770 Grand Concourse Apt 2f, Bronx, NY
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
390200000X - Licence states on file
- IL, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa