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TEBO DENTISTRY FOR KIDS CUMMING LLC
NPI 1659085637
Clinic/Center - Dental in Cumming, GA

Active since January 13, 2023
1725 BUFORD HWY, CUMMING, GA 30041(770) 925-3300(770) 925-3301 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tebo Dentistry For Kids Cumming Llc NPPES

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

TEBO DENTISTRY FOR KIDS CUMMING LLC (NPI 1659085637) is a healthcare organization registered as a dental in Cumming, Georgia and active in the NPI registry since January 2023. The organization lists Mark Thebaut, Dds, as its authorized official.

NPPES Registry Identity

NPI1659085637
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTEBO DENTISTRY FOR KIDS CUMMING LLC
Location Address1725 BUFORD HWYCumming, GA 30041-8201
Mailing AddressPo Box 1953Lilburn, GA 30048-1953 · (770) 925-3300
Phone(770) 925-3300
Fax(770) 925-3301
Organization SubpartNo
Authorized OfficialMark ThebautDds · (770) 925-3300
Enumeration DateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1659085637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1725 BUFORD HWY, Cumming, GA 30041
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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 Cumming LLC's NPI number?

The NPI number for Tebo Dentistry For Kids Cumming LLC is 1659085637. It was assigned to this organization in the NPPES registry on January 13, 2023.

Where is Tebo Dentistry For Kids Cumming LLC located?

Tebo Dentistry For Kids Cumming LLC is located at 1725 Buford Hwy, Cumming, GA 30041. The listed phone number is (770) 925-3300.

What is Tebo Dentistry For Kids Cumming LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tebo Dentistry For Kids Cumming LLC was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.