PLATINUM DENTAL GROUP LILBURN, LLC is a pediatric dentistry dentist in Lilburn, 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. PLATINUM DENTAL GROUP LILBURN, LLC NPI is 1609100015. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
609 BEAVER RUIN RD
SUITE A
LILBURN, GA
ZIP 30047
Phone: (770) 709-0000
Fax: (770) 925-3302
The provider's authorized official is Mark Denny Thebaut .
The authorized official title is Owner/dentist and has the following contact phone number (678) 990-6301.
The enumeration date for this NPI number is 10/1/2009 and was last updated on 10/1/2009.