Active NPI
Theodore B. Thomas,III,DDS,P.a.
- Dental Clinic/Center
- Clinton, NC
National Provider Identifier
1932371606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 4818
- Legal business name
- THEODORE B. THOMAS,III,DDS,P.A.
- Practice address
- 450 McKoy St
Clinton, NC 28328-2844 - Phone
- (910) 592-6171
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore Brandon Thomas III, DDS
- Title
- President
- Phone
- (910) 592-6171
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 4818 | NC | Primary |
Addresses
Primary practice location
450 McKoy St
Clinton, NC 28328-2844
Mailing address
450 McKoy St
Clinton, NC 28328-2844
Phone (910) 592-6171
National Provider Directory
National Provider DirectoryLocations
450 McKoy St
Clinton, NC 28328
Phone (910) 592-6171
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Clinton, NC
- NPI 1174627541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1932371606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MCKOY ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282844",
"telephone_number": "910-592-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 MCKOY ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282844",
"telephone_number": "910-592-6171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEODORE B. THOMAS,III,DDS,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "BRANDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-592-6171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NC",
"license": "4818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.