Provider Demographics
NPI:1932097730
Name:THOMAS, MADELYNN SHAREE (DDS)
Entity type:Individual
Prefix:
First Name:MADELYNN
Middle Name:SHAREE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 ROBERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:AL
Mailing Address - Zip Code:35616-6329
Mailing Address - Country:US
Mailing Address - Phone:662-415-5589
Mailing Address - Fax:
Practice Address - Street 1:921 AVALON AVE
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2343
Practice Address - Country:US
Practice Address - Phone:256-320-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007516-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist