| Gregory M Thackston, Dmd,magd,llc | |
|
506 Madison Ave N Douglas GA 31533-4616 | |
| (912) 384-7200 | |
| (912) 384-0885 |
| Full Name | Gregory M Thackston, Dmd,magd,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 506 Madison Ave N, Douglas, Georgia |
| Authorized Official Name and Position | Darilyn Thackston (OFFICE MANAGER) |
| Authorized Official Contact | 9123847200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory M Thackston, Dmd,magd,llc Po Box 1150 Douglas GA 31534-1150 Ph: (912) 384-7200 | Gregory M Thackston, Dmd,magd,llc 506 Madison Ave N Douglas GA 31533-4616 Ph: (912) 384-7200 |
| NPI Number | 1811168909 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811168909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9888 (Georgia) | Primary |
Guy W. Moorman, Jr. Dds. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Ward Street Ext W, Douglas, GA 31533 Phone: 912-384-7400 | |
Lindsey, D.m.d., & Crawford, D.m.d., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 West Ward Street Extension, Magnolia Place B2, Douglas, GA 31533 Phone: 912-384-7400 | |
South Georgia Cosmetic & General Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Madison Ave N, Douglas, GA 31533 Phone: 912-384-4432 | |
Dr. Dana E. Fender, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Peterson Ave N Ste G, Douglas, GA 31533 Phone: 912-381-1560 | |
Debbie L. Dismuke D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-2277 Fax: 912-384-7543 | |
Mcgovern Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Gordon St W, Douglas, GA 31533 Phone: 912-384-1306 Fax: 912-384-1308 |