Healthcare Provider Details

I. General information

NPI: 1114882743
Provider Name (Legal Business Name): MICHAEL AND BRITTANY THOMAS DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4097 FULTON DR NW
CANTON OH
44718-2817
US

IV. Provider business mailing address

4097 FULTON DR NW
CANTON OH
44718-2817
US

V. Phone/Fax

Practice location:
  • Phone: 614-580-5491
  • Fax:
Mailing address:
  • Phone: 614-580-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTANY WOODARD THOMAS
Title or Position: CO-OWNER
Credential: DDS
Phone: 614-580-5491