Individual provider · Type 1 NPI
Mark D. Thebaut, DDS
Pediatric Dentistry · Lilburn, GA
NPI number
1245332238
Active
Practice location
609 Beaver Ruin Rd NW
Lilburn, GA 30047-3401
Fax (770) 925-3302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 9113 (GA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5 other providers at this address
- Mark D Thebaut DDS PCPediatric Dentistry Lilburn, GA NPI 1447377130
- Belema Abere, DMDPediatric Dentistry Lilburn, GA NPI 1326501057
- Gregory A. Clepper, DMDGeneral Practice Dentistry Lilburn, GA NPI 1831291574
- Mark Inman Cohen, DDSPeriodontics Lilburn, GA NPI 1255370565
- Neo Mamoraka EhiweGeneral Practice Dentistry Lilburn, GA NPI 1942947858
Other pediatric dentistry providers in Lilburn
About NPI 1245332238
Mark D. Thebaut, DDS's National Provider Identifier is 1245332238, issued on Sep 1, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lilburn, GA. The record was last updated on Jul 9, 2007.