OrganizationActive
Tebo Dentistry for Kids Dacula, LLC
NPI 1689938862 · Pediatric Dentistry · Dacula, GA
Provider details
- NPI number
- 1689938862
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenniffer Connor, Administrative Assistant(678) 990-6331
- License
- DN009113
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1152 Auburn Rd
Building 1, Suite 101
Dacula, GA 30019-5444
Phone: (770) 925-3300
Street-level locationGet directions
Mailing address
Po Box 1953
Lilburn, GA 30048-1953
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2012-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.