Fionn Thomas, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

012170 Issued in GA

Practice address

219 Savannah Ave
Statesboro, GA 30458-2001

Phone

(912) 764-6149

Fax

(912) 764-3863

NPI assigned

Oct 18, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thomas Dental Center

  • General Practice Dentistry
  • Statesboro, GA
  • NPI 1861583148
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1164732624",
    "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",
            "fax_number": "912-764-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FIONN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "012170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000879909B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Women'S Surgery Center, LLC
• Therapy Spot LLC
• Thomas Dental Center
• Andrea Elizabeth Thomas, O.D.
• Cyntoria De'Asia Thomas
• Kristen Ashley Thomas, PA-C
• Marissa Thomas
• Anne Weekley Thompson, MSPT
• Candice Jean Thompson, ASSOCIATES DIPLOMA
• Miranda Leanna Thompson, AT

• Dentist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.