Jeffery Raymond Thomas, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

NC4542 Issued in NC

Practice address

2808 Village Way
Trent Woods, NC 28562-7305

Phone

(252) 633-1631

Fax

(252) 633-3922

NPI assigned

May 10, 2006

Last updated

Jul 13, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 16, 2012 through May 16, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jeffery R. Thomas, DDS, PA

  • Periodontics
  • Trent Woods, NC
  • NPI 1386763837
  NPD (past) Authorized official
• Patrick M. McDonough, D.D.S., M.S., P.a.

  dba Carolina Center for Dental Implants and Periodontics

  • Periodontics
  • Trent Woods, NC
  • NPI 1689032468
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558311894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627305",
            "telephone_number": "252-633-1631",
            "fax_number": "252-633-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627305",
            "telephone_number": "252-633-1631",
            "fax_number": "252-633-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFFERY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "NC4542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998406",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Scott, OTR-L
• William Andrew Seman, PH.D.
• Jolie Ann Stadelman, PA-C
• Alexandria Bonicelli Taylor
• Kathryn Taylor
• Lydia Worley Warren, LMFT
• Graylyn Lewis Wiley, PMHNP
• Matthew James Wilyonson, MD

• Periodontics in Trent Woods, NC
• Providers in Trent Woods, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.