Organization · Type 2 NPI

Gregory M Thackston, Dmd,magd,llc

General Practice Dentistry · Douglas, GA

NPI number 1811168909 Active

Practice location

506 Madison Ave N
Douglas, GA 31533-4616

Call (912) 384-7200 Map

Fax (912) 384-0885

Mailing address

PO Box 1150
Douglas, GA 31534-1150

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9888 (GA)

General Practice Dentistry: 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.

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About NPI 1811168909

Gregory M Thackston, Dmd,magd,llc's National Provider Identifier is 1811168909, issued on Mar 17, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Douglas, GA. The record was last updated on Mar 17, 2008.