Provider Demographics
NPI:1346270949
Name:THORNHILL, NEIL W
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:W
Last Name:THORNHILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 PARKVIEW DR
Mailing Address - Street 2:PO BOX 424
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-2946
Mailing Address - Country:US
Mailing Address - Phone:765-529-3686
Mailing Address - Fax:765-529-3693
Practice Address - Street 1:305 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-2946
Practice Address - Country:US
Practice Address - Phone:765-529-3686
Practice Address - Fax:765-529-3693
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN78181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice