Gwinnett Childrens Dentistry

LBN: Mark D Thebaut Dds Pc
Gwinnett Childrens Dentistry is an health care organization with primary practice located at 609 Beaver Ruin Rd Nw Suite A, Lilburn GA 30047-3401. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Mark D Thebaut Dds Pc can be contacted via phone (770) 925-3301, or through Thebaut, Mark D via phone (770) 925-3301.

Contact Information

Primary practice address
609 Beaver Ruin Rd Nw Suite A Lilburn GA 30047-3401
Phone: (770) 925-3301
Fax: (770) 709-0001
Website:
Map and Directions
Authorized official contact:
Name: Thebaut, Mark D Doctor of Dental Surgery (DDS)
Phone: (770) 925-3301

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9113 Georgia

Profile Details

NPI number 1447377130
LBN Legal business name Mark D Thebaut Dds Pc
DBA Doing business as Gwinnett Childrens Dentistry
Authorized official Thebaut, Mark D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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