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Tebo Dentistry For Kids Dacula, Llc
Pediatric Dentist in Dacula, Georgia
NPI 1689938862

Tebo Dentistry For Kids Dacula, Llc is a Pediatric Dentist based in Lilburn, GA and is specialized in Pediatric Dentistry. Tebo Dentistry For Kids Dacula, Llc practices in Dacula, GA. The NPI Number for Tebo Dentistry For Kids Dacula, Llc is 1689938862 and holds a License No. DN009113 (Georgia).

The current practice location address for Tebo Dentistry For Kids Dacula, Llc is 1152 Auburn Rd, Dacula, GA and can be reached out via phone at 770-925-3300.

Location: 1152 Auburn Rd, Dacula, GA, 30048-1953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689938862
Provider Name
Tebo Dentistry For Kids Dacula, Llc
Credential
Provider Entity Type
Organization
Address
1152 Auburn Rd, Dacula, GA, 30048-1953
Phone Number
770-925-3300
Fax Number
Provider Enumeration Date
07/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033449517 01 GA NPI
1245432004 01 GA NPI
1730316597 01 GA NPI
124533238 01 NPI
institution
Provider Business Practice Location Address Details
Address
1152 Auburn Rd
City
Dacula
State
Georgia
Zip
30019-5444
Phone Number
770-925-3300
Fax Number
person
Provider Business Mailing Address Details
Address
1152 Auburn Rd
City
Dacula
State
Georgia
Zip
30019-5444
Phone Number
770-925-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN013919 (Georgia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN009113 ()
Definition
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.
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