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

Platinum Dental Group Surgical Center

Organization General Practice Dentistry · NPI 1891813408

Platinum Dental Group Surgical Center is a General Practice Dentistry in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1345 Hembree Rd
Roswell, GA 30076-3816
Phone: (770) 751-3115
Fax: (678) 990-1065
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9113 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9113 (GA)

Record details

NPI number1891813408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Thebaut — Owner · (770) 751-3115
Other names Platinum Dental Group Surgical Center, Llc
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1345 Hembree Rd, Roswell, GA 30076-3816

Other providers in Roswell