Provider Demographics
NPI:1902916786
Name:TURNER, THOMAS CLAYTON III (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CLAYTON
Last Name:TURNER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 E SOUTHERN AVE STE 124
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-2568
Mailing Address - Country:US
Mailing Address - Phone:480-633-7807
Mailing Address - Fax:480-633-0647
Practice Address - Street 1:3740 E SOUTHERN AVE STE 124
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2568
Practice Address - Country:US
Practice Address - Phone:480-633-7807
Practice Address - Fax:480-633-0647
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ48921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice