OrganizationActive
Tebo Dentistry for Kids Marietta LLC
NPI 1396106142 · Pediatric Dentistry · Marietta, GA
Tebo Dentistry for Kids Marietta LLC is a Pediatric Dentistry organization in Marietta, GA (NPI 1396106142).
Provider details
- NPI number
- 1396106142
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Thebaut, President/Owner(770) 925-3300
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2155 Post Oak Tritt Rd
Suite 450
Marietta, GA 30062-8620
Phone: (770) 925-3300
Street-level locationGet directions
Mailing address
Po Box 1953
Lilburn, GA 30048-1953
Registry dates
- Enumerated
- 2016-03-08
- Last updated
- 2016-03-08
Frequently asked questions
- What is Tebo Dentistry for Kids Marietta LLC's NPI number?
- Tebo Dentistry for Kids Marietta LLC's National Provider Identifier (NPI) is 1396106142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tebo Dentistry for Kids Marietta LLC?
- Tebo Dentistry for Kids Marietta LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Tebo Dentistry for Kids Marietta LLC located?
- Tebo Dentistry for Kids Marietta LLC's practice location on file with NPPES is 2155 Post Oak Tritt Rd, Marietta, GA 30062-8620.
- What is Tebo Dentistry for Kids Marietta LLC's phone number?
- The practice phone number listed in the NPPES registry for Tebo Dentistry for Kids Marietta LLC is (770) 925-3300.
- Who is the authorized official for Tebo Dentistry for Kids Marietta LLC?
- The authorized official listed on Tebo Dentistry for Kids Marietta LLC's NPPES record is Mark Thebaut, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tebo Dentistry for Kids Marietta LLC's NPI active?
- Yes — Tebo Dentistry for Kids Marietta LLC's NPI (1396106142) is active in the NPPES registry as of the last update on 2016-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.