Organization
THOMAS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIONN E THOMAS D.M.D. (OWNER)
(912) 764-6149
Entity
Organization
Contact information
Practice address
219 SAVANNAH AVE, STATESBORO, GA 30458-2001
(912) 764-6149
(912) 764-3863
Mailing address
PO BOX 1490, STATESBORO, GA 30459-1490
(912) 764-6149
(912) 764-3863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12170
GA
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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