Michael Adonis Bassil

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN124361 Issued in GA

Practice address

322 E Jackson St
Thomasville, GA 31792-5168

Phone

(229) 226-6875

NPI assigned

Mar 8, 2023

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Dana E. Fender, D.M.D., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Douglas, GA
  • NPI 1326537523
  NPD (past)
• Thomasville Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Thomasville, GA
  • NPI 1891156576
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1295435287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 EAGLES LANDING DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641468",
            "telephone_number": "484-895-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925168",
            "telephone_number": "229-226-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E 3rd St # 260",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180152072",
            "country_code": "US",
            "telephone_number": "484-526-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Miluli Ave",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398195701",
            "country_code": "US",
            "telephone_number": "229-243-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Longleaf Office Park",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686780",
            "country_code": "US",
            "telephone_number": "229-985-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSIL",
        "first_name": "MICHAEL",
        "middle_name": "ADONIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN124361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron M Bannister, OD
• Alice A. Barker, M.D.
• Arnitha Frances Barnes
• Cheryl J Barnes
• Michael Barrow
• Joe Baugham, PA-C
• Griffin Richard Baum, M.D.
• John F Beaty, M.D.
• Kaylee Beaty
• Kathryn Dawn Beckham, SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.