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

Tebo Dentistry for Kids Marietta LLC

Organization Pediatric Dentistry · NPI 1396106142

Tebo Dentistry for Kids Marietta LLC is a Pediatric Dentistry in Marietta, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2155 Post Oak Tritt Rd Ste 450
Marietta, GA 30062-8620
Phone: (770) 925-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1396106142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Thebaut — President/Owner · (770) 925-3300
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016
Mailing addressPo Box 1953, Lilburn, GA 30048-1953

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