Provider Demographics
NPI:1518273440
Name:W. KEITH THORNTON DDS INC
Entity Type:Organization
Organization Name:W. KEITH THORNTON DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:W.
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-987-4827
Mailing Address - Street 1:6131 LUTHER LN
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6223
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90051223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty