Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK D THEBAUT, DDS
ActiveDR. MARK D THEBAUT, DDS is a Pediatric Dentistry healthcare provider located in LILBURN, Georgia. NPI 1245332238 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LILBURN, GA
Registration Details
- NPI Number
- 1245332238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.911774829312 yrs)
- Last Updated
- Jul 9, 2007
- License
-
9113 (GA)
Practice Information
- Address
-
609 BEAVER RUIN RD NWLILBURN, GA, 300473401Browse GA providers · Browse ZIP 30047
- Phone
- 7709253300
- Fax
- 7709253302
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| DR. BELEMA ABERE | DMD | 1326501057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.