Mark D Thebaut Dds Pc is a Pediatric Dental Clinic in Lilburn, Georgia. It is located at 609 Beaver Ruin Rd Nw, Suite A, Lilburn, GA and its contact number is 770-925-3301. The authorized person for Mark D Thebaut Dds Pc is Dr. Mark D Thebaut
who is Owner of the clinic and their contact number is 770-925-3301. The primary license number for Mark D Thebaut Dds Pc is 9113 (Pediatric Dentistry) in Georgia. Mark D Thebaut Dds Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Mark D Thebaut Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mark D Thebaut Dds Pc
Specialization:
Pediatric Dentistry
Clinic Address:
609 Beaver Ruin Rd Nw, Suite A, Lilburn, Georgia, 30047-3401
Phone:
770-925-3301
Fax:
770-709-0001
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mark D Thebaut
Position:
Owner
Contact Number:
770-925-3301
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mark D Thebaut Dds Pc clinic are as mentioned below.
NPI Number:
1447377130
NPI Enumeration Date:
26 Mar, 2007
NPI Last Update On:
18 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark D Thebaut Dds Pc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
9113
Georgia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark D Thebaut Dds Pc 609 Beaver Ruin Rd Nw, Suite A Lilburn, Georgia
Zip:
30047-3401
Phone Number:
770-925-3300
Fax Number:
770-925-3302
Patients can reach Mark D Thebaut Dds Pc at 609 Beaver Ruin Rd Nw, Suite A, Lilburn, Georgia or can call to book an appointment on 770-925-3301. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.