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Gregory M. Thackston, DMD

General Dentistry · Douglas, GA

UnclaimedDMDNPI 1134147242
Primary taxonomy
1223G0001X
Enumerated
2006-07-17
Practice location
Douglas, GA
Last NPPES update
2016-03-02

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.