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Organization
LUCAS AND THOMAS FAMILY DENTISTRY, INC.
Active
Organization
LUCAS AND THOMAS FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON W. LUCAS D.M.D. (OWNER, PRESIDENT)
(912) 285-3140
Entity
Organization
Contact information
Practice address
1600 ALICE ST, WAYCROSS, GA 31501-4533
(912) 285-3140
(912) 285-0260
Mailing address
1600 ALICE ST, WAYCROSS, GA 31501-4533
(912) 285-3140
(912) 285-0260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013726
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114941184
GEORGE W.THOMAS, D.D.S.
GA
01
—
1790946622
JASON W. LUCAS, DMD
GA
Enumeration date
07/16/2015
Last updated
07/16/2015
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