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DOMINIQUE DANIELLE THOMAS DDS
NPI 1396242012
Dentist - Pediatric Dentistry in Bowling Green, OH

Active since April 09, 2018PECOS Enrolled
1221 RIDGEWOOD DR STE B, BOWLING GREEN, OH 43402(419) 352-2593(844) 224-3880 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2021, Apr 22, 2019, Apr 9, 2018 (3 updates tracked since 2018).

About Dominique Danielle Thomas Dds NPPES

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

DOMINIQUE DANIELLE THOMAS DDS (NPI 1396242012) is an individual pediatric dentistry provider in Bowling Green, Ohio, licensed in Ohio (30-026421) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396242012
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDOMINIQUE DANIELLE THOMASCredential: DDS
Location Address1221 RIDGEWOOD DR STE BBowling Green, OH 43402-2785
Mailing Address1221 Ridgewood Dr Ste BBowling Green, OH 43402-2785 · (419) 352-2593 · Fax (844) 224-3880
Phone(419) 352-2593
Fax(844) 224-3880
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateOctober 6, 20213 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1396242012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OH · 30-026421
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1221 RIDGEWOOD DR STE B, Bowling Green, OH 43402
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13000 Arlington AveToledo, OH 43614-2595 · Phone (419) 383-3504 · Fax (419) 383-6127
Location 21800 N Blanchard St Ste 122Findlay, OH 45840-4509 · Phone (419) 241-6215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Danielle Thomas Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

HAYLEE ROSE BETZ RDA
Dental Assistant
1221 RIDGEWOOD DR STE B
BOWLING GREEN, OH 43402
Wood County (419) 352-2593

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 Dominique Thomas's NPI number?

The NPI number for Dominique Thomas is 1396242012. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Dominique Thomas located?

Dominique Thomas practices at 1221 Ridgewood Dr Ste B, Bowling Green, OH 43402. The listed phone number is (419) 352-2593.

What is Dominique Thomas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Dominique Thomas enrolled in Medicare?

Yes. Dominique Thomas is registered in the Medicare PECOS enrollment system.

What insurance does Dominique Thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Dominique Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Thomas was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.