| Dr Mark D Thebaut, DDS | |
|
609 Beaver Ruin Rd Nw, Lilburn, GA 30047-3401 | |
| (770) 925-3300 | |
| (770) 925-3302 |
| Full Name | Dr Mark D Thebaut |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 609 Beaver Ruin Rd Nw, Lilburn, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245332238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9113 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark D Thebaut, DDS 609 Beaver Ruin Rd Nw, Lilburn, GA 30047-3401 Ph: (770) 925-3300 | Dr Mark D Thebaut, DDS 609 Beaver Ruin Rd Nw, Lilburn, GA 30047-3401 Ph: (770) 925-3300 |
Dr. Thaddeus Harvey Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 331 Arcado Rd Nw, Lilburn, GA 30047 Phone: 770-923-1814 | |
Dr. Jeremy Robert Smith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5400 Lawrenceville Hwy Nw Ste D, Lilburn, GA 30047 Phone: 770-921-6606 | |
Dr. Harry W Mccool, DDS Dentist Medicare: Medicare Enrolled Practice Location: 645 A Beaver Ruin Rd, Lilburn, GA 30047 Phone: 770-381-9320 Fax: 770-381-9490 | |
Dr. Letoiya Marie Carter-robinson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 609 Beaver Ruin Rd Nw Ste B, Lilburn, GA 30047 Phone: 770-925-3300 | |
Emma Deal, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4150 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 770-717-7225 | |
Dr. Rishi R Kapur, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4150 Five Forks Trickum Rd, Suite 1, Lilburn, GA 30047 Phone: 770-717-7225 Fax: 770-717-7228 | |
Dr. Stuart Chastain Knight, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5400 Lawrenceville Hwy Nw Ste D, Lilburn, GA 30047 Phone: 678-368-4396 |