| W. Keith Thornton Dds Inc | |
|
6131 Luther Ln Suite 208 Dallas TX 75225-6223 | |
| (214) 987-4827 | |
| Not Available |
| Full Name | W. Keith Thornton Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 6131 Luther Ln, Dallas, Texas |
| Authorized Official Name and Position | W. Keith Thornton (PRESIDENT/OWNER) |
| Authorized Official Contact | 2149874827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Keith Thornton Dds Inc 6131 Luther Ln Suite 208 Dallas TX 75225-6223 Ph: (214) 987-4827 | W. Keith Thornton Dds Inc 6131 Luther Ln Suite 208 Dallas TX 75225-6223 Ph: (214) 987-4827 |
| NPI Number | 1518273440 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 6002009313 |
|---|---|
| Medicare Enrollment ID | O20230612000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518273440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 9005 (Texas) | Primary |
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