Provider Demographics
NPI:1760496715
Name:THORNTON, JOSEPH PATTERSON III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PATTERSON
Last Name:THORNTON
Suffix:III
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 1:2138 SCENIC HWY N
Mailing Address - Street 2:SUITE D
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6106
Mailing Address - Country:US
Mailing Address - Phone:770-978-2000
Mailing Address - Fax:
Practice Address - Street 1:2138 SCENIC HWY N
Practice Address - Street 2:SUITE D
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6106
Practice Address - Country:US
Practice Address - Phone:770-978-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA09115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist