Provider Demographics
NPI:1134188717
Name:THORNTON, WILLIAM KEITH (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KEITH
Last Name:THORNTON
Suffix:
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 1:6131 LUTHER LN STE 208
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6200
Mailing Address - Country:US
Mailing Address - Phone:214-987-4827
Mailing Address - Fax:214-987-4838
Practice Address - Street 1:6131 LUTHER LN
Practice Address - Street 2:SUITE 208
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6223
Practice Address - Country:US
Practice Address - Phone:214-987-4827
Practice Address - Fax:214-987-4838
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice