Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D. THEBAUT, D.D.S, PC DBA
Active OrganizationMARK D. THEBAUT, D.D.S, PC DBA is a Pediatric Dentistry organization located in LILBURN, Georgia. NPI 1255665667 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LILBURN, GA
Registration Details
- NPI Number
- 1255665667
- Provider Type
- Organization
- NPI Issued
- Oct 1, 2009 (16.896691849509 yrs)
- Last Updated
- Oct 1, 2009
Practice Information
- Address
-
609 BEAVER RUIN RDSUITE ALILBURN, GA, 30047Browse GA providers · Browse ZIP 30047
- Phone
- 7709253300
- Fax
- 7709253302
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Organizations in LILBURN, GA
| Name | NPI |
|---|---|
| MARK D THEBAUT DDS PC | 1447377130 |
| PLATINUM DENTAL GROUP LILBURN LLC | 1962634543 |
| PLATINUM DENTAL GROUP LILBURN, LLC | 1609100015 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.