NPI age
17 years
Enumerated 2008-10-21
● Active Type 2 · Organization
Thomasville Pediatric Dentistry
Thomasville Pediatric Dentistry is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Dentist/owner
Last NPPES update
2008-10-21
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
17 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-10Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
215 Constitution Ave
Thomasville, GA 317574843
Mailing address
215 Constitution Ave
Thomasville, GA 317574843
Authorized official
Marlin S Johnson, D.M.D
Dentist/owner
📞 2292262386
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jodi Cox Davalos, D.M.D. Dentist NPI 1396107447
Specialties
-
Dentist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 197090698C |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.