PLATINUM DENTAL GROUP GAINESVILLE, LLC
NPI 1083948491
Dentist - Pediatric Dentistry in Gainesville, GA
- Organization
- Dentist
- Pediatric Dentistry
About PLATINUM DENTAL GROUP GAINESVILLE, LLC
This page provides the complete NPI Profile along with additional information for Platinum Dental Group Gainesville, Llc, a provider established in Gainesville, Georgia operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1083948491 assigned on October 2009. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Platinum Dental Group Gainesville, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Mark Denny Thebaut Dds (Owner/dentist)
- NPI
- 1083948491 Verify this NPI
- Provider Name
- PLATINUM DENTAL GROUP GAINESVILLE, LLC
- Entity Type
- Organization
- Location Address
- 3535 THOMPSON BRIDGE RD GAINESVILLE, GA 30506
- Location Phone
- (770) 534-5374
- Location Fax
- (770) 534-5591
- Mailing Address
- 3535 THOMPSON BRIDGE RD GAINESVILLE, GA 30506
- Mailing Phone
- (770) 534-5374
- Mailing Fax
- (770) 534-5591
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-01-2009
- Last Update Date
- 10-01-2009
- Code Navigator
A dentist like Platinum Dental Group Gainesville, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151700972D | MEDICAID (05) | GA | |
| 000185875H | MEDICAID (05) | GA | |
| 177273740C | MEDICAID (05) | GA | |
| 232076497C | MEDICAID (05) | GA | |
| 149199935C | MEDICAID (05) | GA | |
| 591447276D | MEDICAID (05) | GA |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GAINESVILLE, GA 30506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083948491, enumerated as an "organization" on October 01, 2009.
The provider is located at 3535 THOMPSON BRIDGE RD GAINESVILLE, GA 30506 and the phone number is (770) 534-5374.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
