Tebo Dentistry For Kids Dacula, Llc

LBN: Tebo Dentistry For Kids Dacula, Llc
Tebo Dentistry For Kids Dacula, Llc is an health care organization with primary practice located at 1152 Auburn Rd Building 1, Suite 101, Dacula GA 30019-5444. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Tebo Dentistry For Kids Dacula, Llc can be contacted via phone (770) 925-3300, or through Connor, Jenniffer via phone (678) 990-6331.

Contact Information

Primary practice address
1152 Auburn Rd Building 1, Suite 101 Dacula GA 30019-5444
Phone: (770) 925-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Connor, Jenniffer
Phone: (678) 990-6331

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN009113
Dental Providers / General Practice 1223G0001X DN013919 Georgia
Dental Providers / General Practice 1223G0001X DN013997 Georgia
Dental Providers / General Practice 1223G0001X DN011863 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN009113 Georgia

Profile Details

NPI number 1689938862
LBN Legal business name Tebo Dentistry For Kids Dacula, Llc
DBA Doing business as
Authorized official Connor, Jenniffer
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 2nd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689938862 NPPES
Georgia Other 1033449517 NPI
Georgia Other 1245432004 NPI
Georgia Other 1730316597 NPI
Georgia Other 124533238 NPI

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