Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Marc C Thevenin Jr PC

Organization General Practice Dentistry · NPI 1588179311

Dr Marc C Thevenin Jr PC is a General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5116 N Big Hollow Rd Ste 101
Peoria, IL 61615-3514
Phone: (309) 674-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1588179311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Thevenin — Owner · (309) 674-2000
NPI enumeratedDecember 1, 2017
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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