Platinum Dental Of Lilburn in Lilburn - General Practice
Platinum Dental Of Lilburn - NPI 1154448850
Platinum Dental Of Lilburn is a General Practice in Lilburn, Georgia. Platinum Dental Of Lilburn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Platinum Dental Of Lilburn is 1154448850. The last update date is 2009-03-25.
Platinum Dental Of Lilburn's current location address is 609 Beaver Ruin Rd Nw Ste A, Lilburn, Georgia. You can contact this provider via phone number 7707090000 and fax number 7709253302. The mailing address for Platinum Dental Of Lilburn is 609 Beaver Ruin Rd Nw Ste A, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Platinum Dental Of Lilburn |
|---|---|
| Address | 609 Beaver Ruin Rd Nw Ste A, Lilburn, Georgia |
| Phone Number | 7707090000 |
| Fax Number | 7709253302 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Thebaut D Mark |
| Credentials | DDS |
| Telephone Number | 7707090000 |
NPI Number Detail
| NPI Number | 1154448850 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 609 Beaver Ruin Rd Nw Ste A |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300473401 |
| Phone Number | 7707090000 |
| Fax Number | 7709253302 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9113 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Platinum Dental Of Lilburn by the Centers for Medicare & Medicaid Services?
The Platinum Dental Of Lilburn has been assigned the NPI (National Provider Identifier) 1154448850 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Platinum Dental Of Lilburn's physical address?
The Platinum Dental Of Lilburn is physically located at 609 Beaver Ruin Rd Nw Ste A, in the city of Lilburn, GA, with the postal code 300473401.
What is Platinum Dental Of Lilburn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Platinum Dental Of Lilburn is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154448850 to Platinum Dental Of Lilburn?
The Centers for Medicare & Medicaid Services originally issued the 1154448850 to Platinum Dental Of Lilburn on 2007-03-26.
As of what date were the Platinum Dental Of Lilburn's details last updated?
The information pertaining to the Platinum Dental Of Lilburn, including its address, specialty, and other details, was most recently updated on 2009-03-25.