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Active NPI 1376616219 Individual Practitioner Male Practitioner

Dr. Frederick Lowell Thielke , DMD

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Thielke, DMD is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 3643 WALTON WAY EXT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3643 Walton Way Ext

Augusta, GA 309094507

Telephone 7067387129
Fax 7067386684
Associated Practice Facility / Clinic
🏢 Augusta Center For Psychological Services, Pc Facility NPI 1346364635

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 10249

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Anthony Bhansali , DMD

Dentist - General Practice

NPI 1942073556

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2015

Registered at 3643 WALTON WAY EXT, AUGUSTA, GA 309094507 (Tel: 7067387129)

📍
Updated Business Mailing Address June 08, 2015

Registered at 3643 WALTON WAY EXT, AUGUSTA, GA 309094507 (Tel: 7067387129)

👤
Provider Name / Credentials Updated June 08, 2015

Recorded as FREDERICK THIELKE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2015

Dentist (License #10249 in GA)

🟢
Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376616219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: June 08, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3643 Walton Way Ext

Augusta, GA 309094507

Phone: 7067387129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.