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

Platinum Dental of Lilburn

Organization General Practice Dentistry · NPI 1154448850

Platinum Dental of Lilburn is a General Practice Dentistry in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

609 Beaver Ruin Rd NW Ste A
Lilburn, GA 30047-3401
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

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

Record details

NPI number1154448850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Thebaut — Owner · (770) 709-0000
Other names Platinum Dental Lilburn, Llc
NPI enumeratedMarch 26, 2007
Last updated in NPPESMarch 25, 2009
Mailing address609 Beaver Ruin Rd Nw Ste A, Lilburn, GA 30047-3401

Other providers in Lilburn