Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gregory M Thackston, DMD

Individual provider General Practice Dentistry · NPI 1134147242

Dr. Gregory M Thackston, DMD is a General Practice Dentistry in Douglas, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

506 Madison Ave N
Douglas, GA 31533-4616
Phone: (912) 384-7200
Fax: (912) 384-0885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9888 (GA)

Record details

NPI number1134147242
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESMarch 2, 2016
Mailing address506 Madison Ave N, Douglas, GA 31533-4616

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