NPI 1174648505 · live from the CMS NPI Registry
Goodwin G. Thomas, Jr., D.M.D., P.A.
Dentist, Orthodontics and Dentofacial Orthopedics in Rock Hill, SC. National Provider Identifier 1174648505, active.
NPI record
| NPI | 1174648505 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1033 Bayshore Dr, Rock Hill, SC 29732 |
| Practice phone | 803-324-5396 |
| Mailing address | Po Box 4456, Rock Hill, SC 29732 |
| Enumerated | March 21, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Goodwin Thomas, Doctor Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4206 (SC) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2215 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.