Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Platinum Dental Group Surgical Center

Organization General Practice Dentistry · NPI 1891813408

Platinum Dental Group Surgical Center provides General Practice Dentistry in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1345 Hembree Rd
Roswell, GA 30076-3816
Phone: (770) 751-3115
Fax: (678) 990-1065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9113 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9113 (GA)

Record details

NPI number1891813408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Thebaut — Owner · (770) 751-3115
Other names Platinum Dental Group Surgical Center, Llc
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1345 Hembree Rd, Roswell, GA 30076-3816

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