SearchGeorgia225100000X

Jason Thelen

NPI 1033693668 · on the registry since 2018

Practice

Address
916 Loganville Hwy Ste 1130
Bethlehem, GA 30620
Phone
(770) 867-7463
Organisation at this address
K2 Dental, Inc.
H&K Optical Llc
Iwc Georgia, Inc
National Vision, Inc.
Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 150 Athens Hwy, Loganville, GA

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-09

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 Georgia