Organization Active NPI

Thomas Dental Center

  • General Practice Dentistry
  • Statesboro, GA
National Provider Identifier
1861583148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12170 Issued in GA
Legal business name
THOMAS DENTAL CENTER
Practice address
219 Savannah Ave
Statesboro, GA 30458-2001
Phone
(912) 764-6149
Fax
(912) 764-3863
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fionn E Thomas, D.M.D.NPI 1164732624
Title
Owner
Phone
(912) 764-6149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12170 GA Primary

Addresses

Primary practice location

219 Savannah Ave
Statesboro, GA 30458-2001

Mailing address

PO Box 1490
Statesboro, GA 30459-1490
Phone (912) 764-6149

National Provider Directory

National Provider Directory

Locations

219 Savannah Ave
Statesboro, GA 30458
Phone (912) 764-6149

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861583148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591490",
            "telephone_number": "912-764-6149",
            "fax_number": "912-764-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SAVANNAH AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582001",
            "telephone_number": "912-764-6149",
            "fax_number": "912-764-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "FIONN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-764-6149",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "12170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.