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Gregory M Thackston, Dmd,magd,llc

NPI 1811168909ActiveOrganization· Dentist, General Practice· Douglas, GA

Dentist, General Practice in Douglas, Georgia, registered in NPPES in March 2008. The authorized official on file is Darilyn Thackston, Office Manager.

Overview

NPI1811168909
StatusActive
Entity typeOrganization
NPI issuedMar 17, 2008
Last updated in NPPESMar 17, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X9888GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Douglas

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