Tebo Dentistry For Kids Dacula, Llc
LBN: Tebo Dentistry For Kids Dacula, Llc
Tebo Dentistry For Kids Dacula, Llc is an health care organization with primary practice located at 1152 Auburn Rd Building 1, Suite 101, Dacula GA 30019-5444. 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.
Tebo Dentistry For Kids Dacula, Llc can be contacted via phone (770) 925-3300, or through Connor, Jenniffer via phone (678) 990-6331.
Contact Information
Primary practice address
1152 Auburn Rd Building 1, Suite 101
Dacula GA 30019-5444
Phone: (770) 925-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN009113 | |
| Dental Providers / General Practice | 1223G0001X | DN013919 | Georgia |
| Dental Providers / General Practice | 1223G0001X | DN013997 | Georgia |
| Dental Providers / General Practice | 1223G0001X | DN011863 | Georgia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN009113 | Georgia |
Profile Details
| NPI number | 1689938862 |
|---|---|
| LBN Legal business name | Tebo Dentistry For Kids Dacula, Llc |
| DBA Doing business as | |
| Authorized official | Connor, Jenniffer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2012 |
| Last updated | Jul 2nd, 2012 - about 13 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 | 1689938862 | NPPES |
| Georgia | Other | 1033449517 | NPI |
| Georgia | Other | 1245432004 | NPI |
| Georgia | Other | 1730316597 | NPI |
| Georgia | Other | 124533238 | NPI |
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