P Praxis·MD
● Active Type 2 · Organization

Platinum Dental Of Gainesville

Dentist·Gainesville, GA· NPI 1427178201 · Enumerated 2007 · 19 years on NPI
Platinum Dental Of Gainesville is 1 of 539 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-29
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thebaut
Owner
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3535 Thompson Bridge Rd
Gainesville, GA 305061551
📞 7705345374fax 7705345591
Mailing address
3535 Thompson Bridge Rd
Gainesville, GA 305061551
📞 7705345374fax 7705345591

Authorized official

Mark D Thebaut, DDS
Owner
📞 7705345374

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    GA license #9113 taxonomy 1223P0221X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #9113 taxonomy 1223G0001X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Platinum Dental Gainesville, LLC
    Type code 3 recorded 2007-03-29

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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