Thomas and Lucas Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN007259 Issued in GA

Legal business name

THOMAS AND LUCAS FAMILY DENTISTRY, LLC

Practice address

1600 Alice St
Waycross, GA 31501-4533

Phone

(912) 285-3140

Fax

(912) 285-0260

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By 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

Dr. George W. Thomas, DDSNPI 1114941184

Title

Owner, President

Phone

(912) 285-3140

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George W. Thomas, D.D.S., P.C.

  • General Practice Dentistry
  • Waycross, GA
  • NPI 1114941184
  NPD (past) Authorized official
• Jason Wayne Lucas, D.M.D

  • General Practice Dentistry
  • Waycross, GA
  • NPI 1790946622
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1720392913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014533",
            "telephone_number": "912-285-3140",
            "fax_number": "912-285-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014533",
            "telephone_number": "912-285-3140",
            "fax_number": "912-285-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS AND LUCAS FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "912-285-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN007259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Medicine Cabinet of Waycross Downtown LLC
• The Medicine Cabinet of Waycross, LLC. (The Medicine Cabinet)
• The Progressive Intervention Network Inc
• The White House
• Warren Stuart Theis, M.D.
• George W. Thomas, D.D.S., P.C.
• Jamie Faith Thomas
• Magan Thomas
• Stephen Thomas
• Thomastine McGill

• General Practice Dentistry in Waycross, GA
• Providers in Waycross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.