Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Platinum Dental Group Lilburn LLC

Organization Pediatric Dentistry · NPI 1962634543

Platinum Dental Group Lilburn LLC is a Pediatric Dentistry in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

609 Beaver Ruin Rd Ste A
Lilburn, GA 30047
Phone: (770) 709-0000
Fax: (770) 925-3302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN009113 (GA)

Record details

NPI number1962634543
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPlatinum Dental Group Lilburn LLC
Authorized official Mark Thebaut — Owner/Dentist · (678) 990-6301
NPI enumeratedAugust 17, 2009
Last updated in NPPESAugust 17, 2009
Mailing addressPo Box 1953, Lilburn, GA 30048-1953

Other providers in Lilburn