Organization · Type 2 NPI
Tebo Dentistry for Kids Dacula, LLC
Pediatric Dentistry · Dacula, GA
NPI number
1689938862
Active
Practice location
1152 Auburn Rd, Building 1, Suite 101
Dacula, GA 30019-5444
Mailing address
PO Box 1953
Lilburn, GA 30048-1953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | DN009113 |
| General Practice Dentistry | 1223G0001X | DN013919 (GA) |
| General Practice Dentistry | 1223G0001X | DN013997 (GA) |
| General Practice Dentistry | 1223G0001X | DN011863 (GA) |
| Pediatric Dentistry Primary | 1223P0221X | DN009113 (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.
Other pediatric dentistry providers in Dacula
About NPI 1689938862
Tebo Dentistry for Kids Dacula, LLC's National Provider Identifier is 1689938862, issued on Jul 2, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dacula, GA. The record was last updated on Jul 2, 2012.