NPI age
7 years
Enumerated 2019-03-08
● Active Type 2 · Organization
Tebo Dentistry For Kids Peachtree Corners, Llc
Tebo Dentistry For Kids Peachtree Corners, Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thebaut
President/owner
Last NPPES update
2019-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
6460 Spalding Drive, Suite C
Peachtree Corners, GA 30092
Mailing address
Po Box 1953
Lilburn, GA 30048
Authorized official
Mark Thebaut
President/owner
📞 7709253300
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Tebo Dentistry for Kids Peachtree Corners
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.