TEBO DENTISTRY FOR KIDS DACULA, LLC – Pediatric Dentistry, NPI 1689938862

TEBO DENTISTRY FOR KIDS DACULA, LLC is a healthcare provider. based in Lilburn, Georgia. specializing in Pediatric Dentistry. The organization holds a License No. DN009113 (). The NPI Number for TEBO DENTISTRY FOR KIDS DACULA, LLC is 1689938862

Main info

Organization
Name
TEBO DENTISTRY FOR KIDS DACULA, LLC
NPI
1689938862
Phone
(770) 925-3300
Address
PO BOX 1953
Authorized Official
JENNIFFER CONNOR ADMINISTRATIVE ASSISTANT
Enumeration Date
2 July 2012
Last Update Date
2 July 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:13State licenses:4Digital endpointsOther names

Provider Addresses for TEBO DENTISTRY FOR KIDS DACULA, LLC

  • PO BOX 1953

    LILBURN, GA 300481953

    Phone: (770) 925-3300

    Type: Mailing

  • 1152 AUBURN RD

    BUILDING 1, SUITE 101

    DACULA, GA 300195444

    Phone: (770) 925-3300

    Type: Location

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 30048)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for TEBO DENTISTRY FOR KIDS DACULA, LLC?
TEBO DENTISTRY FOR KIDS DACULA, LLC — NPI 1689938862 — is the standard way to identify this listing.
Is TEBO DENTISTRY FOR KIDS DACULA, LLC listed as active for patients and plans?
The listing shows TEBO DENTISTRY FOR KIDS DACULA, LLC as active in the NPI system.
What is TEBO DENTISTRY FOR KIDS DACULA, LLC best known for clinically?
Directory data describes TEBO DENTISTRY FOR KIDS DACULA, LLC with Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where should I expect TEBO DENTISTRY FOR KIDS DACULA, LLC on a map?
Expect Lilburn, Georgia as a primary anchor for TEBO DENTISTRY FOR KIDS DACULA, LLC unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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