Organization
DAVID R. THOMASON, D.M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R. THOMASON D.M.D. (PRESIDENT)
(706) 790-3011
Entity
Organization
Contact information
Practice address
3136 DEANS BRIDGE RD, AUGUSTA, GA 30906-9348
(706) 790-3011
Mailing address
3136 DEANS BRIDGE RD, AUGUSTA, GA 30906-9348
(706) 790-3011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813058
UNITED CONCORDIA
—
Enumeration date
01/22/2007
Last updated
08/22/2020
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