Dr. Mark D Thebaut is a Lilburn, Georgia based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark D Thebaut is 9113 for Pediatric Dentistry in Georgia. His current practice location is 609 Beaver Ruin Rd Nw, Lilburn. Patients can reach him at 770-925-3300.
Dr. Mark D Thebaut 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 Profile:
Dr. Mark D Thebaut speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
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 are as mentioned below.
NPI Number:
1245332238
NPI Enumeration Date:
01 Sep, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark D Thebaut are as mentioned below.
License Number
Specialization
State
Status
9113
Pediatric Dentistry
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:
609 Beaver Ruin Rd Nw, Lilburn, Georgia
Zip:
30047-3401
Phone Number:
770-925-3300
Fax Number:
770-925-3302
Patients can reach Dr. Mark D Thebaut at 609 Beaver Ruin Rd Nw, Lilburn, 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 11 March, 2024.