Michelle Lee Thomas, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN22673 Issued in FL

Practice address

3123 W 23Rd St
Panama City, FL 32405-1828

Phone

(850) 481-1969

NPI assigned

Jul 3, 2017

Sex

Female

Sole proprietor

No

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)

Not 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 and National Provider Directory roles.

• Bellefonte Childrens Dentistry PC

  • Pediatric Dentistry
  • Naples, FL
  • NPI 1023182029
  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1710408455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 7TH ST S APT 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026130",
            "telephone_number": "941-786-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051828",
            "telephone_number": "850-481-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4506 E Highway 20",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325789740",
            "country_code": "US",
            "telephone_number": "850-308-1733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 Mack Bayou Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324597161",
            "country_code": "US",
            "telephone_number": "850-512-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN22673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Randall Thomas, LCSW
• Cynthia Anne Thomas, ARNP
• John Beasley Thomas IV, M.D.
• Kelly Chirstine Thomas, LMT
• Lashunda Sherese Thomas, MSW
• Nathan James Thomas, D.O.
• Rainbow S Thomas
• Rasha Thomas
• Stacy Thomas, OT
• Monica Thomason

• Pediatric Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.