Active NPI
Alicia Bryant-Thomas, D.M.D.
- General Practice Dentistry
- Statesboro, GA
National Provider Identifier
1053666701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN014418
- Practice address
- 219 Savannah Ave
Statesboro, GA 30458-2001 - Phone
- (912) 764-6149
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014418 | GA | Primary |
Addresses
Primary practice location
219 Savannah Ave
Statesboro, GA 30458-2001
Mailing address
PO Box 1490
Statesboro, GA 30459-1490
Phone (912) 764-6149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014418 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Dental Center | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Statesboro, GA
- NPI 1861583148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1053666701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1490",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304591490",
"telephone_number": "912-764-6149",
"fax_number": "912-764-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 SAVANNAH AVE",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304582001",
"telephone_number": "912-764-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT-THOMAS",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- Brown's Healthcare, LLC (Brown's Health Care)
- Jimmy Heath Browning, LPC, MAC, CBT, MRT
- Browns Healthcare LLC (Brown's Health & Rehab. Center)
- Anna Bryan, MLS
- Wayne Bryan, M.D.
- Thomas Andrew Buckley, ED.D., ATC
- Daniel B Bullman, CHW/CRS
- Bulloch Chiropractic
- Bulloch County Board Education
- Bulloch County Board of Health (Bulloch Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.