Individual provider · Type 1 NPI

Marc Conel Thevenin Jr., DDS

Dentist · Davenport, IA

NPI number 1811281637 Active

Practice location

5270 Elmore Ave Ste 4
Davenport, IA 52807-3437

Call (563) 209-9000 Map

Mailing address

2095 Clementi Ln
Aurora, IL 60503-8579

Other practice locations

16473 W 159th St, Lockport, IL 60441-7961 · (815) 221-4200
1770 Grand Concourse Apt 2F, Bronx, NY 10457-5526 · (718) 901-8110

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	019030600 (IL)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Dentist Primary	122300000X	DDS-10298 (IA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1811281637

Marc Conel Thevenin Jr., DDS's National Provider Identifier is 1811281637, issued on Jun 9, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Davenport, IA. The record was last updated on Nov 27, 2024.