Tebo 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.