Platinum Dental Lilburn, Llc

LBN: Platinum Dental Of Lilburn
Platinum Dental Lilburn, Llc is an health care organization with primary practice located at 609 Beaver Ruin Rd Nw Ste A , Lilburn GA 30047-3401. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Platinum Dental Of Lilburn can be contacted via phone (770) 709-0000, or through Thebaut, Mark D via phone (770) 709-0000.

Contact Information

Primary practice address
609 Beaver Ruin Rd Nw Ste A Lilburn GA 30047-3401
Phone: (770) 709-0000
Fax: (770) 925-3302
Website:
Map and Directions
Authorized official contact:
Name: Thebaut, Mark D Doctor of Dental Surgery (DDS)
Phone: (770) 709-0000

Health care specialties

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

Profile Details

NPI number 1154448850
LBN Legal business name Platinum Dental Of Lilburn
DBA Doing business as Platinum Dental Lilburn, Llc
Authorized official Thebaut, Mark D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 25th, 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.

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