Platinum Dental of Lilburn
NPI 1154448850ActiveOrganization· Dentist, General Practice· Lilburn, GA
Dentist, General Practice in Lilburn, Georgia, registered in NPPES in March 2007. The authorized official on file is Mark D. Thebaut, DDS, Owner.
Overview
| NPI | 1154448850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2007 |
| Last updated in NPPES | Mar 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9113 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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