DR. MARK D THEBAUT (DDS) – Pediatric Dentistry, NPI 1245332238
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARK D THEBAUT (DDS)
Beaver Ruin Road, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States
LILBURN, GA 300473401
Phone: (770) 925-3300
Fax: (770) 925-3302
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $11.
Total Amount is formed as General ($11) + Research ($0) + Ownership ($0) = $11.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Align Technology, Inc. ($11).
Total Amount
$11
General + Research + Ownership
Payments
1
Total payment records
General Amount
$11
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Align Technology, Inc. | $11 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30047)
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Reviews
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