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Platinum Dental of Lilburn

General Practice Dentistry in Lilburn, GA · enumerated 2007 · authorized official Mark Thebaut, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154448850

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Registry record

Entity type Organization (Type 2)
Legal business name Platinum Dental of Lilburn
Other name <Unavail>
Practice address 609 Beaver Ruin Rd Nw Ste A, Lilburn, GA, 30047
Phone (770) 709-0000
Fax (770) 925-3302
Enumeration date Mar 26, 2007
Last updated in NPPES Mar 25, 2009

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 9113 (GA) Primary

Authorized official

Name Mark Thebaut
Title Owner
Phone (770) 709-0000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Platinum Dental of Lilburn?
Platinum Dental of Lilburn is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-25.