Tebo Dentistry For Kids Dacula, Llc
Dental Clinic
1152 Auburn Rd, Building 1, Suite 101, Dacula
Georgia, 30019-5444
770-925-3300 Maps & DirectionsTebo Dentistry For Kids Dacula, Llc is a Dental Clinic in Dacula, Georgia. It is located at 1152 Auburn Rd, Building 1, Suite 101, Dacula, GA and its contact number is 770-925-3300. The authorized person for Tebo Dentistry For Kids Dacula, Llc is Jenniffer Connor
who is Administrative Assistant of the clinic and their contact number is 678-990-6331. The primary license number for Tebo Dentistry For Kids Dacula, Llc is DN009113 (Pediatric Dentistry) in Georgia.
Tebo Dentistry For Kids Dacula, 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:
Tebo Dentistry For Kids Dacula, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Tebo Dentistry For Kids Dacula, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1152 Auburn Rd, Building 1, Suite 101, Dacula,
Georgia, 30019-5444 |
| Phone: | 770-925-3300 |
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: | Jenniffer Connor |
| Position: | Administrative Assistant |
| Contact Number: | 678-990-6331 |
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 Tebo Dentistry For Kids Dacula, Llc clinic are as mentioned below.
| NPI Number: | 1689938862 |
| NPI Enumeration Date: | 02 Jul, 2012 |
| NPI Last Update On: | 02 Jul, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tebo Dentistry For Kids Dacula, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN009113 | Georgia | Primary | |
| General Practice | DN009113 | | Secondary | |
| General Practice | DN013919 | Georgia | Secondary | |
| General Practice | DN013997 | Georgia | Secondary | |
| General Practice | DN011863 | Georgia | 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 |
| 1033449517 | Other | Georgia | Npi |
| 1245432004 | Other | Georgia | Npi |
| 1730316597 | Other | Georgia | Npi |
| 124533238 | Other | | Npi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tebo Dentistry For Kids Dacula, Llc
Po Box 1953,
Lilburn, Georgia |
| Zip: | 30048-1953 |
| Phone Number: | 770-925-3300 |
Patients can reach Tebo Dentistry For Kids Dacula, Llc at
1152 Auburn Rd, Building 1, Suite 101, Dacula, Georgia or can
call to book an appointment on 770-925-3300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.