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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