BRENT THOMAS DMD PA
NPI 1306190285
Dentist - General Practice in Vicksburg, MS

Active since October 31, 2012
1805 MISSION 66, VICKSBURG, MS 39180(601) 638-2361(601) 634-0864 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brent Thomas Dmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT THOMAS DMD PA (NPI 1306190285) is a healthcare organization registered as a general practice in Vicksburg, Mississippi and active in the NPI registry since October 2012. The organization lists Charles Brent Thomas, Dentist, as its authorized official.

NPPES Registry Identity

NPI1306190285
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRENT THOMAS DMD PA
Location Address1805 MISSION 66Vicksburg, MS 39180-3709
Mailing Address1805 Mission 66Vicksburg, MS 39180-3709 · (601) 638-2361 · Fax (601) 634-0864
Fax(601) 634-0864
Organization SubpartNo
Authorized OfficialCharles Brent ThomasDentist · (601) 638-2361
Enumeration DateOctober 31, 2012
NPI 1306190285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 195381
Definition
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.
1805 MISSION 66, Vicksburg, MS 39180

Other Identifiers 1

Other1649492695MS · Npi Individual

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1805 MISSION 66
VICKSBURG, MS 39180
Dentist
1805 MISSION 66
VICKSBURG, MS 39180
Dentist (General Practice)
1805 MISSION 66
VICKSBURG, MS 39180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Thomas Dmd PA's NPI number?

The NPI number for Brent Thomas Dmd PA is 1306190285. It was assigned to this organization in the NPPES registry on October 31, 2012.

Where is Brent Thomas Dmd PA located?

Brent Thomas Dmd PA is located at 1805 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 638-2361.

What is Brent Thomas Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brent Thomas Dmd PA was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.