Platinum Dental Group Lilburn LLC
Platinum Dental Group Lilburn LLC provides Pediatric Dentistry in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2009.
- Licensed in
- GA
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
609 Beaver Ruin Rd Ste ALilburn, GA 30047 Not confirmed with CMS for 17 years — call before visiting
Phone: (770) 709-0000
Fax: (770) 925-3302
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence DN009113 (GA) |
|---|
Record details
| NPI number | 1962634543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Platinum Dental Group Lilburn LLC |
| Authorized official | Mark Thebaut — Owner/Dentist · (678) 990-6301 |
| NPI enumerated | August 17, 2009 |
| Last updated in NPPES | August 17, 2009 |
| Mailing address | Po Box 1953, Lilburn, GA 30048-1953 |
Other providers in Lilburn
-
Dr. Belema Abere, DMD
609 Beaver Ruin Rd NW, Lilburn, GA 30047-3401 · (305) 637-6400
-
Mark D Thebaut DDS PC
609 Beaver Ruin Rd NW Ste A, Lilburn, GA 30047-3401 · (770) 925-3301
-
Dr. Mark D Thebaut, DDS
609 Beaver Ruin Rd NW, Lilburn, GA 30047-3401 · (770) 925-3300