Justice Dental Georgetown Dba Thompson Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL

Doing business as

Thompson Family Dental

Practice address

203 Champion Way Ste 6
Georgetown, KY 40324-8861

Phone

(502) 868-6999

Fax

(502) 868-5944

NPI assigned

Dec 4, 2019

Last updated

Dec 4, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTALAs reported in NPPES

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

Authorized official

Name

Crystal Marie Claycomb

Title

Office Manager

Phone

(502) 868-5999

Specialties & licenses 1

Addresses

Other names 1

• Thompson Family Dental Doing business as

Part of

Justice Dental Georgetown Dba Thompson Family Dental

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1821635392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CHAMPION WAY STE 6",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248861",
            "telephone_number": "502-868-6999",
            "fax_number": "502-868-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CHAMPION WAY STE 6",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248861",
            "telephone_number": "502-868-6999",
            "fax_number": "502-868-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUSTICE DENTAL GEORGETOWN DBA THOMPSON FAMILY DENTAL",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "CLAYCOMB",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-868-5999"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thompson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslye Shandell Jones, DO
• Michael S Jones, PA-C
• Rickard Dustin Jones, PT, DPT
• Tionna Jones
• Crystal Julian, APRN
• Kelly Marie Justice
• Morgan Siobhan Justice
• Madison Nicole Kach
• Travis Kach
• Anne G Keenan, CSW

• General Practice Dentistry in Georgetown, KY
• Providers in Georgetown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.