Individual provider Active NPI

Dana Patrice Thomas, DMD

  • General Practice Dentistry
  • Marietta, GA
National Provider Identifier
1497288740
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015397 Issued in GA
Practice address
222 Alday LN
Marietta, GA 30060-1174
Phone
(706) 305-5131
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015397 GA Primary

Addresses

Primary practice location

222 Alday LN
Marietta, GA 30060-1174

Mailing address

222 Alday LN
Marietta, GA 30060-1174
Phone (706) 305-5131

Other practice location 1

341 Ponce De Leon Ave NE
Atlanta, GA 30308-2012
Phone (404) 616-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918000798 GA Order and Referring Only - DentistPractitioner - Dentist 2769800051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1497288740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ALDAY LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601174",
            "telephone_number": "706-305-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALDAY LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601174",
            "telephone_number": "706-305-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Ponce De Leon Ave NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082012",
            "country_code": "US",
            "telephone_number": "404-616-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANA",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.