Thomas Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013527 Issued in GA

Legal business name

THOMAS DENTAL GROUP

Practice address

1133 East West Connector
Suite 120
Austell, GA 30106

Phone

(770) 333-9951

NPI assigned

Feb 17, 2017

Last updated

Feb 17, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST COBB SMILESAs reported in NPPES

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

Authorized official

Name

Mrs. Teresa Tard

Title

Business Manager

Phone

(770) 333-9951

Specialties & licenses 1

Addresses

Part of

Thomas Dental Group

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.

• Shelly Mixson

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1952467425
  NPD (past)
• Tia Monique Thomas, DMD

  • General Practice Dentistry
  • Austell, GA
  • NPI 1366632507
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1972042380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 EAST WEST CONNECTOR",
            "address_2": "SUITE 120",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-333-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAST WEST CONNECTOR",
            "address_2": "SUITE 120",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-333-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST COBB SMILES",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "TARD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-333-9951",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Heart Clinic, P.C.
• The Nathaniel Watson, Jr. Memorial Foundation, Inc (Balm of Gilead Medical Services)
• The Wig Hut Salon LLC
• The Yellow Bridge Therapy Center
• The Yellow Bridge Therapy Center
• Lashonte Thomas-Shaw, ARNP
• Aaron Thomas, MD
• Bethani Thomas, PHARMD
• Tia Monique Thomas, DMD
• Tristan Keon Thomas, MD

• Dental Clinic/Center in Austell, GA
• Providers in Austell, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.