Jacey Melissa Thelen
Jacey Melissa Thelen is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2026.
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
838 W Glen AvePeoria, IL 61614-4882
Phone: (309) 244-1655
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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 · Licence 019.037106 (IL) |
|---|
Record details
| NPI number | 1669303731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 27, 2026 |
| Last updated in NPPES | May 27, 2026 |
| Certification date | May 27, 2026 |
| Mailing address | 201 E North Lakeview Dr, East Peoria, IL 61611-1050 |
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