Organization
GOODWIN G. THOMAS, JR., D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOODWIN G THOMAS JR. D.M.D. (DOCTOR OWNER)
(803) 324-5396
Entity
Organization
Contact information
Practice address
1033 BAYSHORE DR, ROCK HILL, SC 29732-1569
(803) 324-5396
(803) 325-1415
Mailing address
PO BOX 4456, ROCK HILL, SC 29732-6456
(803) 324-5396
(803) 325-1415
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2215
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4206
SC
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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