Thomasson Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMASSON DENTAL PLLC

Practice address

106 E Due West Ave
Madison, TN 37115-5202

Phone

(615) 865-1732

Fax

(615) 865-9223

NPI assigned

Apr 17, 2018

Last updated

Apr 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Enitra Overstreet

Title

Office Manager

Phone

(615) 865-1732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1376030106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155202",
            "telephone_number": "615-865-1732",
            "fax_number": "615-865-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155202",
            "telephone_number": "615-865-1732",
            "fax_number": "615-865-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASSON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "ENITRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-865-1732"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theratech Inc
• Elias Samuel Thibado
• Thomas Martin DDS PLLC (Martin Dental Studio)
• Keshia Thomas, BCBA
• Norman Thomas IV, CRNA
• Andrew Lee Thomasson, DDS
• Mark Henry Thomasson, DDS
• Philip Clark Thompson
• Logan Nils Thorne
• Emily Tibbs

• General Practice Dentistry in Madison, TN
• Providers in Madison, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.