Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tebo Dentistry for Kids Dacula, LLC

Organization General Practice Dentistry · NPI 1689938862

Tebo Dentistry for Kids Dacula, LLC provides General Practice Dentistry in Dacula, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1152 Auburn Rd Bldg 1 Ste 101
Dacula, GA 30019-5444 Not confirmed with CMS for 14 years — call before visiting
Phone: (770) 925-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN009113 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN009113
General Practice Dentistry Taxonomy 1223G0001X · Licence DN013919 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN013997 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN011863 (GA)

Record details

NPI number1689938862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenniffer Connor — Administrative Assistant · (678) 990-6331
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing addressPo Box 1953, Lilburn, GA 30048-1953

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