THOMASVILLE PEDIATRIC DENTISTRY
NPI 1518119718
Dentist - Pediatric Dentistry in Thomasville, GA

Active since October 21, 2008
215 CONSTITUTION AVE, THOMASVILLE, GA 31757(229) 226-2386(229) 226-9838 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomasville Pediatric Dentistry NPPES

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

THOMASVILLE PEDIATRIC DENTISTRY (NPI 1518119718) is a healthcare organization registered as a pediatric dentistry in Thomasville, Georgia and active in the NPI registry since October 2008. The organization lists Marlin S Johnson, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1518119718
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHOMASVILLE PEDIATRIC DENTISTRY
Location Address215 CONSTITUTION AVEThomasville, GA 31757-4843
Mailing Address215 Constitution AveThomasville, GA 31757-4843 · (229) 226-2386 · Fax (229) 226-9838
Fax(229) 226-9838
Organization SubpartNo
Authorized OfficialMarlin S JohnsonDentist/owner · (229) 226-2386
Enumeration DateOctober 21, 2008
NPI 1518119718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in GA · DN013177
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.
215 CONSTITUTION AVE, Thomasville, GA 31757

Other Identifiers 1

Medicaid197090698CGA

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

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

Dentist (General Practice)
215 CONSTITUTION AVE
THOMASVILLE, GA 31757

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 Thomasville Pediatric Dentistry's NPI number?

The NPI number for Thomasville Pediatric Dentistry is 1518119718. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Thomasville Pediatric Dentistry located?

Thomasville Pediatric Dentistry is located at 215 Constitution Ave, Thomasville, GA 31757. The listed phone number is (229) 226-2386.

What is Thomasville Pediatric Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Thomasville Pediatric Dentistry was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.