Stafford Thomas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12269 Issued in NC

Practice address

336 E Hanes Mill Rd
Winston Salem, NC 27105-9135

Phone

(336) 450-2077

NPI assigned

Jun 21, 2021

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

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

Locations

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.

• Alles & Associates North Carolina

  dba Ideal Dental Winston-Salem

  • Dentist
  • Winston Salem, NC
  • NPI 1306597695
  NPD
• Alles & Associates North Carolina

  dba Ideal Dental High Point

  • Dentist
  • High Point, NC
  • NPI 1033878194
  NPD (past)
• Alterman & Dhillon Piedmont, PPLC

  • Dentist
  • Winston Salem, NC
  • NPI 1033600382
  NPD (past)
• Alterman & Dhillon Piedmont, PPLC

  • Dentist
  • High Point, NC
  • NPI 1760973010
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1396314704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 GRANDEUR DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281461634",
            "telephone_number": "801-995-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E HANES MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059135",
            "telephone_number": "336-450-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1589 Skeet Club Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658820",
            "country_code": "US",
            "telephone_number": "336-450-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STAFFORD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "12269",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Evelyn Thomas, R.N.
• Rosalinda Thomas, LCAS
• Sarah Thomas, CNP
• Seena Thomas
• Stacy W Thomas, MD
• Sydney Meng Thomas
• Tiffany Davee Smith Thomas, LCSW
• Weston Clay Thomas, PHYSICIAN ASSISTANT
• Caroline Ashley Thomason, RDN
• Jason William White Thomason, MD

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.