Healthcare Provider Details

I. General information

NPI: 1942839766
Provider Name (Legal Business Name): THO CAO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5590 ROSWELL RD STE H270
SANDY SPRINGS GA
30342-1909
US

IV. Provider business mailing address

1907 COMMONS CIR
ATLANTA GA
30341-5547
US

V. Phone/Fax

Practice location:
  • Phone: 770-692-1000
  • Fax:
Mailing address:
  • Phone: 404-441-8892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number61701
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN016014.
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: