What is Mark Thebaut's NPI number?

Mark Thebaut's National Provider Identifier (NPI) is 1245332238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Thebaut's specialty?

Mark Thebaut is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Mark Thebaut located?

Mark Thebaut's practice location on file with NPPES is 609 Beaver Ruin Rd Nw, Lilburn, GA 30047-3401.

What is Mark Thebaut's phone number?

The practice phone number listed in the NPPES registry for Mark Thebaut is (770) 925-3300.

Is Mark Thebaut's NPI active?

Yes — Mark Thebaut's NPI (1245332238) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Mark Thebaut, DDS

NPI 1245332238 · Pediatric Dentistry · Lilburn, GA

Mark Thebaut, DDS is a Pediatric Dentistry provider in Lilburn, GA (NPI 1245332238).

Provider details

NPI number: 1245332238
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 9113 (GA)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 9113 (GA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

609 Beaver Ruin Rd Nw

Lilburn, GA 30047-3401

Phone: (770) 925-3300

Fax: (770) 925-3302

Street-level locationGet directions

More GA providers

Mailing address