Organization
MARK D THEBAUT DDS PC
Active
Other names
Gwinnett Childrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D THEBAUT DDS (OWNER)
(770) 925-3301
Entity
Organization
Contact information
Practice address
609 BEAVER RUIN RD NW, SUITE A, LILBURN, GA 30047-3401
(770) 925-3301
(770) 709-0001
Mailing address
609 BEAVER RUIN RD NW, SUITE A, LILBURN, GA 30047-3401
(770) 925-3300
(770) 925-3302
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9113
GA
Other
Enumeration date
03/26/2007
Last updated
06/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us