Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D THEBAUT DDS PC
Active OrganizationMARK D THEBAUT DDS PC is a Pediatric Dentistry organization located in LILBURN, Georgia. NPI 1447377130 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LILBURN, GA
Registration Details
- NPI Number
- 1447377130
- Provider Type
- Organization
- NPI Issued
- Mar 26, 2007 (19.414590662812 yrs)
- Last Updated
- Jun 18, 2008
- License
-
9113 (GA)
Practice Information
- Address
-
609 BEAVER RUIN RD NWSUITE ALILBURN, GA, 300473401Browse GA providers · Browse ZIP 30047
- Phone
- 7709253301
- Fax
- 7707090001
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Organizations in LILBURN, GA
| Name | NPI |
|---|---|
| PLATINUM DENTAL GROUP LILBURN LLC | 1962634543 |
| PLATINUM DENTAL GROUP LILBURN, LLC | 1609100015 |
| MARK D. THEBAUT, D.D.S, PC DBA | 1255665667 |
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.