Active NPI
Amber Thomas
- Dentist
- Grovetown, GA
National Provider Identifier
1114815693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123812
- Practice address
- 440 Westhaven CT
Grovetown, GA 30813-0760 - Phone
- (706) 619-1733
- NPI assigned
- Jun 25, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN123812 | GA | Primary |
Addresses
Primary practice location
440 Westhaven CT
Grovetown, GA 30813-0760
Mailing address
3507 Preston TRL
Martinez, GA 30907-9505
Phone (903) 269-8899
Other practice location 1
581 Furys Ferry Rd
Martinez, GA 30907-9059
Phone (706) 738-7742
Other names 1
- Amber Thomas
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 |
|---|---|---|---|
| DN123812 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Family Dentistry, LLC | Current | Accepting new patients |
Locations
440 Westhaven Ct
Grovetown, GA 30813
Phone (706) 619-1733
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
- Grovetown, GA
- NPI 1134925019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1114815693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 PRESTON TRL",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079505",
"telephone_number": "903-269-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WESTHAVEN CT",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308130760",
"telephone_number": "706-619-1733"
}
],
"practiceLocations": [
{
"address_1": "581 Furys Ferry Rd",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "GA",
"postal_code": "309079059",
"country_code": "US",
"telephone_number": "706-738-7742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "THOMAS",
"credential": "AMBER THOMAS, DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.