Dr. Thomas Wayne Bohannan , DDS
Dentist - General Practice • Hurst, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Bohannan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Bohannan, DDS was a registered Dentist - General Practice practicing in Hurst, TX. Throughout an active medical career spanning 19 years, Dr. Bohannan provided care at the practice location at 756 MARY DR until profile deactivation on 2025-10-23.
Practice Location & Contact Primary Location
756 Mary Dr
Hurst, TX 760535619
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Hurst, TX
Practicing in Hurst, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on October 23, 2025
NPI status registered as active in NPPES database
Registered at 756 MARY DR, HURST, TX 760535619 (Tel: 8172823477)
Registered at 756 MARY DR, HURST, TX 760535619 (Tel: 8172823477)
Recorded as THOMAS BOHANNAN, DDS
Dentist (License #6637 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
756 Mary Dr
Hurst, TX 760535619
Phone: 8172823477
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