Platinum Dental Group Surgical Center, Llc

LBN: Platinum Dental Group Surgical Center
Platinum Dental Group Surgical Center, Llc is an health care organization with primary practice located at 1345 Hembree Rd , Roswell GA 30076-3816. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Platinum Dental Group Surgical Center can be contacted via phone (770) 751-3115, or through Thebaut, Mark D via phone (770) 751-3115.

Contact Information

Primary practice address
1345 Hembree Rd Roswell GA 30076-3816
Phone: (770) 751-3115
Fax: (678) 990-1065
Website:
Map and Directions
Authorized official contact:
Name: Thebaut, Mark D Doctor of Dental Surgery (DDS)
Phone: (770) 751-3115

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9113 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X 9113 Georgia

Profile Details

NPI number 1891813408
LBN Legal business name Platinum Dental Group Surgical Center
DBA Doing business as Platinum Dental Group Surgical Center, Llc
Authorized official Thebaut, Mark D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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