MEDICARE: DR. WILLIAM KEITH THORNTON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9005	TX

General Provider Information

NPI Number	:	1134188717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM KEITH THORNTON D.D.S.

Provider Business Mailing Address
First Line	:	6131 LUTHER LN STE 208
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-6200
Country	:	US
Telephone Number	:	214-987-4827
Fax Number	:	214-987-4838

Provider Business Practice Location Address
First Line	:	6131 LUTHER LN
Second Line	:	SUITE 208
City	:	DALLAS
State	:	TX
Zip	:	75225-6223
Country	:	US
Telephone Number	:	214-987-4827
Fax Number	:	214-987-4838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	12/05/2022

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Directions to “ DR. WILLIAM KEITH THORNTON D.D.S.” Practice Location

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