Jack Thomas is a Dentist in Atlanta, Georgia. Jack Thomas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Thomas is 1043247257. The last update date is 2022-06-06.
Jack Thomas's current location address is 5461 Meridian Mark Rd Ste 200, Atlanta, Georgia. You can contact this provider via phone number 4047852072 and fax number 4047855892. The mailing address for Jack Thomas is 5461 Meridian Mark Rd Ste 200, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Thomas |
|---|---|
| Address | 5461 Meridian Mark Rd Ste 200, Atlanta, Georgia |
| Phone Number | 4047852072 |
| Fax Number | 4047855892 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1043247257 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2022-06-06 |
Provider Mailing Address Detail
| Address | 5461 Meridian Mark Rd Ste 200 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303424014 |
| Phone Number | 4047852072 |
| Fax Number | 4047855892 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN011911 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Jack Thomas by the Centers for Medicare & Medicaid Services?
The Jack Thomas has been issued the NPI (National Provider Identifier) 1043247257. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack Thomas located?
The Jack Thomas is located at 5461 Meridian Mark Rd Ste 200, Atlanta, GA 303424014.
What is Jack Thomas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Thomas is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Jack Thomas receive the assignment of its 1043247257 from the Centers for Medicare & Medicaid Services?
The Jack Thomas was issued its 1043247257 by the Centers for Medicare & Medicaid Services on 2006-06-26.
As of what date were the details pertaining to Jack Thomas last refreshed?
The information related to the Jack Thomas, including its address, specialty, and other relevant details, was last updated on 2022-06-06.