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TEBO DENTISTRY FOR KIDS PEACHTREE CORNERS, LLC
NPI 1083172035
Clinic/Center - Dental in Peachtree Corners, GA

Active since March 08, 2019
6460 SPALDING DRIVE, SUITE C, PEACHTREE CORNERS, GA 30092(770) 925-3300 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Mar 8, 2019 (2 updates tracked since 2019).

About Tebo Dentistry For Kids Peachtree Corners, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEBO DENTISTRY FOR KIDS PEACHTREE CORNERS, LLC (NPI 1083172035), doing business as Tebo Dentistry For Kids Peachtree Corners, is a healthcare organization registered as a dental in Peachtree Corners, Georgia and active in the NPI registry since March 2019. The organization lists Mark Thebaut, President/owner, as its authorized official.

NPPES Registry Identity

NPI1083172035
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTEBO DENTISTRY FOR KIDS PEACHTREE CORNERS, LLC
Location Address6460 SPALDING DRIVE, SUITE CPeachtree Corners, GA 30092
Mailing AddressPo Box 1953Lilburn, GA 30048
Phone(770) 925-3300
Organization SubpartNo
Authorized OfficialMark ThebautPresident/owner · (770) 925-3300
Enumeration DateMarch 8, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1083172035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
6460 SPALDING DRIVE, Peachtree Corners, GA 30092
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Other Names 1

Doing Business AsTebo Dentistry For Kids Peachtree Corners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tebo Dentistry For Kids Peachtree Corners, LLC's NPI number?

The NPI number for Tebo Dentistry For Kids Peachtree Corners, LLC is 1083172035. It was assigned to this organization in the NPPES registry on March 8, 2019. The provider is doing business as Tebo Dentistry for Kids Peachtree Corners.

Where is Tebo Dentistry For Kids Peachtree Corners, LLC located?

Tebo Dentistry For Kids Peachtree Corners, LLC is located at 6460 Spalding Drive Suite C, Peachtree Corners, GA 30092. The listed phone number is (770) 925-3300.

What is Tebo Dentistry For Kids Peachtree Corners, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Tebo Dentistry For Kids Peachtree Corners, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Tebo Dentistry For Kids Peachtree Corners, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tebo Dentistry For Kids Peachtree Corners, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.