Individual
DR. JACK THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-2072
(404) 785-5892
Mailing address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-2072
(404) 785-5892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN011911
GA
1223P0221X
Pediatric Dentistry
Primary
DN011911
GA
Other
Enumeration date
06/26/2006
Last updated
07/12/2024
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