TEBO DENTISTRY FOR KIDS MARIETTA LLC NPI 1396106142

NPI Information

TEBO DENTISTRY FOR KIDS MARIETTA LLC is a pediatric dentistry dentist in Marietta, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. TEBO DENTISTRY FOR KIDS MARIETTA LLC NPI is 1396106142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2155 POST OAK TRITT RD
SUITE 450
MARIETTA, GA
ZIP 30062-620
Phone: (770) 925-3300

The provider's authorized official is Mark Denny Thebaut .
The authorized official title is President/owner and has the following contact phone number (770) 925-3300.

The enumeration date for this NPI number is 3/8/2016 and was last updated on 3/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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