NPI age
13 years
Enumerated 2012-07-02
● Active Type 2 · Organization
Tebo Dentistry For Kids Dacula, Llc
Tebo Dentistry For Kids Dacula, Llc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Connor
Administrative Assistant
Last NPPES update
2012-07-02
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-07Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1152 Auburn Rd, Building 1, Suite 101
Dacula, GA 300195444
Mailing address
Po Box 1953
Lilburn, GA 300481953
Authorized official
Jenniffer Connor
Administrative Assistant
📞 6789906331
Specialties
-
Dentist PrimaryAn 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.
-
DentistA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1033449517 | NPI |
| 01 (GA) | 1245432004 | NPI |
| 01 (GA) | 1730316597 | NPI |
| 01 | 124533238 | NPI |
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 →
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