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Gregory Thackston, DMD
NPI 1134147242 · on the registry since 2006 · sole proprietor
Practice
- Address
- 506 Madison Ave N
Douglas, GA 31533 - Phone
- (912) 384-7200
- Fax
- (912) 384-0885
- Organisation at this address
- Gregory M Thackston, Dmd,Magd,Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia