Gwinnett Childrens Dentistry – Pediatric Dentistry, NPI 1447377130

Gwinnett Childrens Dentistry is a healthcare provider. based in Lilburn, Georgia. specializing in Pediatric Dentistry. The organization holds a License No. 9113 (GA). The NPI Number for Gwinnett Childrens Dentistry is 1447377130

Main info

Organization
Name
Gwinnett Childrens Dentistry
NPI
1447377130
Phone
(770) 925-3301
Address
609 BEAVER RUIN RD NW
Authorized Official
DR. MARK D THEBAUT OWNER DDS
Enumeration Date
26 March 2007
Last Update Date
18 June 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Gwinnett Childrens Dentistry

  • 609 BEAVER RUIN RD NW

    SUITE A

    LILBURN, GA 300473401

    Phone: (770) 925-3301

    Fax: (770) 709-0001

    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)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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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Frequently asked questions

Can I cross-check Gwinnett Childrens Dentistry using NPI 1447377130?
NPI 1447377130 belongs to Gwinnett Childrens Dentistry; compare other details if you need extra assurance.
Is there an active status for Gwinnett Childrens Dentistry?
For scheduling context, Gwinnett Childrens Dentistry is shown as active in the registry.
What kind of doctor is Gwinnett Childrens Dentistry?
Gwinnett Childrens Dentistry is associated with Pediatric Dentistry in the directory — Clinical services aligned with this taxonomy classification.
Is Gwinnett Childrens Dentistry associated with Lilburn?
Public fields place Gwinnett Childrens Dentistry around Lilburn, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for Gwinnett Childrens Dentistry?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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