Platinum Dental Group Lilburn, Llc is a Dental Clinic in Lilburn, Georgia. It is located at 609 Beaver Ruin Rd, Suite A, Lilburn, GA and its contact number is 770-709-0000. The authorized person for Platinum Dental Group Lilburn, Llc is Mr. Mark Denny Thebaut
who is Owner/dentist of the clinic and their contact number is 678-990-6301. Other organizations associated with this clinic are Mark D. Thebaut, D.d.s, Pc Dba, Platinum Dental Group Lilburn, Llc,
Platinum Dental Group Lilburn, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Platinum Dental Group Lilburn, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Platinum Dental Group Lilburn, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 609 Beaver Ruin Rd, Suite A, Lilburn,
Georgia, 30047 |
| Phone: | 770-709-0000 |
| Fax: | 770-925-3302 |
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: | Mr. Mark Denny Thebaut |
| Position: | Owner/dentist |
| Contact Number: | 678-990-6301 |
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 Platinum Dental Group Lilburn, Llc clinic are as mentioned below.
| NPI Number: | 1609100015 |
| NPI Enumeration Date: | 01 Oct, 2009 |
| NPI Last Update On: | 01 Oct, 2009 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Mark D. Thebaut, D.d.s, Pc Dba | General Practice Dentistry | 1255665667 |
| Platinum Dental Group Lilburn, Llc | General Practice Dentistry | 1609100015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Platinum Dental Group Lilburn, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| General Practice | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000185875J | Medicaid | Georgia | |
| 232076497B | Medicaid | Georgia | |
| 151700972B | Medicaid | Georgia | |
| 591447276C | Medicaid | Georgia | |
| 832239687A | Medicaid | Georgia | |
| 149199935B | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Platinum Dental Group Lilburn, Llc
609 Beaver Ruin Rd, Suite A
Lilburn, Georgia |
| Zip: | 30047 |
| Phone Number: | 770-709-0000 |
| Fax Number: | 770-925-3302 |
Patients can reach Platinum Dental Group Lilburn, Llc at
609 Beaver Ruin Rd, Suite A, Lilburn, Georgia or can
call to book an appointment on 770-709-0000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.