Platinum Dental Group Lilburn, Llc
LBN: Platinum Dental Group Lilburn, Llc
Platinum Dental Group Lilburn, Llc is an health care organization with primary practice located at 609 Beaver Ruin Rd Suite A, Lilburn GA 30047. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Platinum Dental Group Lilburn, Llc can be contacted via phone (770) 709-0000, or through Thebaut, Mark Denny via phone (678) 990-6301.
Contact Information
Primary practice address
609 Beaver Ruin Rd Suite A
Lilburn GA 30047
Phone: (770) 709-0000
Fax: (770) 925-3302
Website:
Authorized official contact:
Name: Thebaut, Mark Denny Doctor of Dental Surgery (DDS)
Phone: (678) 990-6301
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1609100015 |
|---|---|
| LBN Legal business name | Platinum Dental Group Lilburn, Llc |
| DBA Doing business as | |
| Authorized official | Thebaut, Mark Denny Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2009 |
| Last updated | Oct 1st, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609100015 | NPPES |
| Georgia | MEDICAID | 000185875J | |
| Georgia | MEDICAID | 232076497B | |
| Georgia | MEDICAID | 151700972B | |
| Georgia | MEDICAID | 591447276C | |
| Georgia | MEDICAID | 832239687A | |
| Georgia | MEDICAID | 149199935B |
Popular Providers
-
Andrew W. Zee, Dds, Inc.
51 Renato Ct Ste B, Redwood City CA 94061-4017 -
Pediatric Dental Specialists, Ppc
2550 E Guadalupe Rd Suite 101, Gilbert AZ 85234-5114 -
Mcilwain Dental Specialists
4710 N Habana Ave Ste 203, Tampa FL 33614-7146 -
John A. Guijon, Dds Inc
18700 Main St Ste 210, Huntington Beach CA 92648-1714 -
Platinum Dental Group Lilburn Llc
609 Beaver Ruin Rd. Ste A, Lilburn GA 30047 -
J.D. De Lorme, D.D.S., Inc
26302 La Paz Rd Ste 114, Mission Viejo CA 92691-5327 -
Drs Ghodke, Lindsey & Associates, Pa
226 Crossroads Blvd , Cary NC 27511-6893 -
Zoom Dental Llc
4574 Lawrenceville Hwy Nw Ste 120 , Lilburn GA 30047-3605