Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134147242 Individual Practitioner Male Practitioner

Dr. Gregory M Thackston , DMD

Dentist - General Practice • Douglas, GA

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Thackston, DMD is a registered healthcare professional specializing in Dentist - General Practice in Douglas, GA. Practice services are available at 506 MADISON AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

506 Madison Ave N

Douglas, GA 315334616

Telephone 9123847200
Fax 9123840885
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Douglas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Douglas, 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 9888

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2016

Registered at 506 MADISON AVE N, DOUGLAS, GA 315334616 (Tel: 9123847200)

📍
Updated Business Mailing Address March 02, 2016

Registered at 506 MADISON AVE N, DOUGLAS, GA 315334616 (Tel: 9123847200)

👤
Provider Name / Credentials Updated March 02, 2016

Recorded as GREGORY THACKSTON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Dentist (License #9888 in GA)

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Initial NPI Registration & Enumeration July 17, 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: 1134147242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: March 02, 2016
Sole Proprietor: Yes

Mailing Address

506 Madison Ave N

Douglas, GA 315334616

Phone: 9123847200

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.