Mark D. Thebaut, D.d.s, Pc Dba

  • 1255665667 NPI Number
  • |
  • Actived: 14 years ago
  • |
Mark D. Thebaut, D.d.s, Pc Dba is a health care provider based in Lilburn, GA. The NPI Number is 1255665667 and it has been active since 14 years ago. The specialty is General Practice, providing comprehensive mental health services to individuals, families, and communities. If you are looking for General Practice services, Mark D. Thebaut, D.d.s, Pc Dba is an excellent option. We are here to help you get the care you need.

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Overview of Mark D. Thebaut, D.d.s, Pc Dba

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/01/2009
  • Last updated: 10/01/2009

Primary Scrop of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 609 Beaver Ruin Rd
    Suite A
    Lilburn, GA 30047
  • Phone: 770-925-3300
  • Fax: 770-925-3302

Provider Practice Location

  • Address: 609 Beaver Ruin Rd
    Suite A
    Lilburn, GA 30047
  • Phone: 770-925-3300
  • Fax: 770-925-3302

Authorized Official

  • Name: MR. Mark Denny Thebaut DDS
  • Position/Title: Owner/dentist
  • Telephone Number: 678-990-6301

Scope of Practice

  • Taxonomy Code: 1223G0001X
  • Specialty: General Practice
  • License Number:
  • License State:
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 149199935A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mark D. Thebaut, D.d.s, Pc Dba?
  • A: The npi number for Mark D. Thebaut, D.d.s, Pc Dba is 1255665667.
  • Q: What are Mark D. Thebaut, D.d.s, Pc Dba's specialties?
  • A: Mark D. Thebaut, D.d.s, Pc Dba's specialties are General Practice and different specialities.
  • Q: Where is Mark D. Thebaut, D.d.s, Pc Dba business practice location?
  • A: Mark D. Thebaut, D.d.s, Pc Dba business practice location is 609 Beaver Ruin Rd, Lilburn, GA 30047.
  • Q: How to contact Mark D. Thebaut, D.d.s, Pc Dba?
  • A: You can contact Mark D. Thebaut, D.d.s, Pc Dba via 770-925-3300.
  • Q: What is the authorized official for Mark D. Thebaut, D.d.s, Pc Dba?
  • A: The authorized office name is MR. Mark Denny Thebaut DDS with position/title is Owner/dentist and you can reach the authorized official via phone number 6789906301.