NPI age
3 years
Enumerated 2023-01-13
● Active Type 2 · Organization
Tebo Dentistry For Kids Cumming Llc
Tebo Dentistry For Kids Cumming 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
DDS
Last NPPES update
2023-01-13
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
3 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1725 Buford Hwy
Cumming, GA 300418201
Mailing address
Po Box 1953
Lilburn, GA 300481953
Authorized official
Mark Thebaut
DDS
📞 7709253300
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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