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Dr. Gregory M Thackston, DMD
General Practice Dentistry in Douglas, Georgia
NPI 1134147242

Gregory M Thackston is a General Practice Dentistry based in Douglas, GA and is specialized in General Practice. Gregory M Thackston practices in Douglas, GA and has the professional credentials of DMD. The NPI Number for Gregory M Thackston is 1134147242 and holds a License No. 9888 (Georgia).

The current practice location address for Gregory M Thackston is 506 Madison Ave N, Douglas, GA and can be reached out via phone at 912-384-7200 and via fax at 912-384-0885. You can also correspond with Gregory M Thackston through the mailing address at 506 MADISON AVE N, DOUGLAS, GA - 31533-4616 (mailing address contact number: 912-384-7200).

Location: 506 Madison Ave N, Douglas, GA, 31533-4616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134147242
Provider Name
Gregory M Thackston
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
506 Madison Ave N, Douglas, GA, 31533-4616
Phone Number
912-384-7200
Fax Number
912-384-0885
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
506 Madison Ave N
City
Douglas
State
Georgia
Zip
31533-4616
Phone Number
912-384-7200
Fax Number
912-384-0885
person
Provider Business Mailing Address Details
Address
506 Madison Ave N
City
Douglas
State
Georgia
Zip
31533-4616
Phone Number
912-384-7200
Fax Number
912-384-0885
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9888 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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