NPI age
19 years
Enumerated 2007-03-26
● Active Type 2 · Organization
Platinum Dental Group Surgical Center
Platinum Dental Group Surgical Center 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
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
1345 Hembree Rd
Roswell, GA 300763816
Mailing address
1345 Hembree Rd
Roswell, GA 300763816
Authorized official
Mark D Thebaut, DDS
Owner
📞 7707513115
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Candice Hardwick, DDS Dentist NPI 1841601754
- Britney Lewis Dentist NPI 1790301943
- Arun Nayyar, DDS Dentist NPI 1184760472
- Eugene Witkin, DDS Dentist NPI 1619072063
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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Platinum Dental Group Surgical Center, LLC
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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