Dale Clifton Thames Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2368-87 Issued in MS

Practice address

1898 Fort Rd
Sheridan, WY 82801-8320

Phone

(307) 672-3473

Fax

(307) 675-3966

NPI assigned

Jul 15, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1366468860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 HILLCREST DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014037",
            "telephone_number": "307-672-3473",
            "fax_number": "307-675-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 FORT RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018320",
            "telephone_number": "307-672-3473",
            "fax_number": "307-675-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "DALE",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2368-87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinzie Taylor
• Patricia J Taylor, PHARMD
• William Byron Taylor III, M.D.
• Victoria Jean Tellez, M.S.W.
• Stephen Scott Tenney, MD
• Amie Ann Thayer, P.T.A.
• The Eric Group Behavioral Health LLC
• The Fulfilled Fork, LLC
• The Mind Gym LLC
• The Sheridan County Young Men'S Christian Association

• General Practice Dentistry in Sheridan, WY
• Providers in Sheridan, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.