Platinum Dental Group Surgical Center, LLC – Pediatric Dentistry, NPI 1891813408

Platinum Dental Group Surgical Center, LLC is a healthcare provider. based in Roswell, Georgia. specializing in Pediatric Dentistry. The organization holds a License No. 9113 (GA). The NPI Number for Platinum Dental Group Surgical Center, LLC is 1891813408

Main info

Organization
Name
Platinum Dental Group Surgical Center, LLC
NPI
1891813408
Phone
(770) 751-3115
Address
1345 HEMBREE RD
Authorized Official
DR. MARK D THEBAUT OWNER DDS
Enumeration Date
26 March 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness90
Years active:19State licenses:1Digital endpoints

Provider Addresses for Platinum Dental Group Surgical Center, LLC

  • 1345 HEMBREE RD

    ROSWELL, GA 300763816

    Phone: (770) 751-3115

    Fax: (678) 990-1065

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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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 30076)

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Reviews

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Frequently asked questions

Where can patients find Platinum Dental Group Surgical Center, LLC's NPI?
You can confirm Platinum Dental Group Surgical Center, LLC with NPI 1891813408; it appears in the national provider directory.
Is Platinum Dental Group Surgical Center, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Platinum Dental Group Surgical Center, LLC work in?
You can think of Platinum Dental Group Surgical Center, LLC as practicing within Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where is Platinum Dental Group Surgical Center, LLC's primary listing?
We display Roswell, Georgia because that is what the record indicates for Platinum Dental Group Surgical Center, LLC.
What if Roswell, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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