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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 Organization

MARK 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 RD
SUITE A
LILBURN, GA, 30047
Browse 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

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.