Provider Demographics
NPI:1477668721
Name:THORNTON A D ARC DDS INC
Entity Type:Organization
Organization Name:THORNTON A D ARC DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THORNTON
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:D ARC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-879-5960
Mailing Address - Street 1:100 LAGUNA ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835
Mailing Address - Country:US
Mailing Address - Phone:714-879-5960
Mailing Address - Fax:714-879-8470
Practice Address - Street 1:100 LAGUNA ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-879-5960
Practice Address - Fax:714-879-8470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23293122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty