DENTAL PROFESSIONALS OF GEORGIA, P.C. (NPI# 1578180436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578180436 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF GEORGIA, P.C. |
| Practice Address |
316 W Main St Thomaston GA 30286-3558 |
| Practice Telephone | 7066475575 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF GEORGIA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Thomaston Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150498 | Dental Professionals of Georgia, P.C. | Dentist | 645 Beaver Ruin Rd Nw Ste A, Lilburn, GA 30047-3471 | 2019-02-19 |
| 1528694080 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-03-17 |
| 1235674227 | Dental Professionals of Georgia, P.C. | Dentist | 116 Calumet Center Rd, Lagrange, GA 30241-6703 | 2016-12-29 |
| 1417394958 | Dental Professionals of Georgia, P.C. | Dentist | 436 Warwoman Rd, Clayton, GA 30525-5105 | 2013-05-23 |
| 1235475526 | Dental Professionals of Georgia, P.C. | Dentist | 600 Galleria Pkwy Se, Suite 800, Atlanta, GA 30339-5994 | 2012-12-14 |
| Street Address |
316 W MAIN ST |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694080 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-03-17 |
| 1912046582 | John W Brown Jr. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679703870 | Manpuneet Singh | Dentist | 131 Main St Ste 103, Thomaston, CT 06787 | 2009-07-22 |
| 1538376967 | Judith Lombardo | Dentist | 10 Marine St, Suite 6, Thomaston, CT 06787-1470 | 2007-05-16 |
| 1023169067 | Michael Thomas Allen | Dentist | 419 N Church St, Thomaston, GA 30286-3611 | 2007-01-16 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
| 1083717664 | Scott B Kingsley | Dentist | 4 Congo Ave, Thomaston, ME 04861 | 2006-09-07 |
| 1528694080 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-03-17 |
| 1659931137 | Aaron Michael Guimond | Dentist | 17 Thomaston Commons Way, Thomaston, ME 04861-3524 | 2019-06-17 |
| 1811135296 | William B. Gardner, D.m.d. P.C. | Dentist | 507 W Gordon St, Thomaston, GA 30286-3424 | 2009-01-23 |
| 1679734115 | George E. Lush | Dentist | 131 Main St, Suite 103, Thomaston, CT 06787-1747 | 2008-06-18 |
| Find all providers in THOMASTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.