Provider Demographics
NPI:1689646648
Name:THORNTON, GAIL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:C
Last Name:THORNTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477
Mailing Address - Country:US
Mailing Address - Phone:845-418-6564
Mailing Address - Fax:845-414-8382
Practice Address - Street 1:160 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477
Practice Address - Country:US
Practice Address - Phone:845-418-6564
Practice Address - Fax:845-414-8382
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2016-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY367611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00803594Medicaid