Organization Active NPI

Thomas M. Henson, DDS, PA

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1962540914
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN006861 Issued in GA
Legal business name
THOMAS M. HENSON, DDS, PA
Practice address
700 Oglethorpe Ave
Suite a-5
Athens, GA 30606-2221
Phone
(706) 549-3110
Fax
(706) 354-0288
NPI assigned
Feb 2, 2007
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
Dr. Thomas M Henson, D.D.S.
Title
President
Phone
(706) 549-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN006861 GA Primary

Addresses

Primary practice location

700 Oglethorpe Ave
Suite a-5
Athens, GA 30606-2221

Mailing address

700 Oglethorpe Ave
Suite a-5
Athens, GA 30606-2221
Phone (706) 549-3110

National Provider Directory

National Provider Directory

Locations

700 Oglethorpe Ave
Ste A5
Athens, GA 30606
Phone (706) 549-3110

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962540914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OGLETHORPE AVE",
            "address_2": "SUITE A-5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062221",
            "telephone_number": "706-549-3110",
            "fax_number": "706-354-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OGLETHORPE AVE",
            "address_2": "SUITE A-5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062221",
            "telephone_number": "706-549-3110",
            "fax_number": "706-354-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. HENSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-549-3110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN006861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, 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.