| Thomas Dental Group | |
|
1133 East West Connector Suite 120 Austell GA 30106 | |
| (770) 333-9951 | |
| Not Available |
| Full Name | Thomas Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1133 East West Connector, Austell, Georgia |
| Authorized Official Name and Position | Teresa Tard (BUSINESS MANAGER) |
| Authorized Official Contact | 7703339951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Dental Group 1133 East West Connector Suite 120 Austell GA 30106 Ph: (770) 333-9951 | Thomas Dental Group 1133 East West Connector Suite 120 Austell GA 30106 Ph: (770) 333-9951 |
| NPI Number | 1972042380 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972042380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013527 (Georgia) | Primary |
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