# W. KEITH THORNTON DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518273440
- **Authorized official:** W. KEITH THORNTON DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (214) 987-4827

## Contact information

- **Practice address:** 6131 LUTHER LN, SUITE 208, DALLAS, TX 75225-6223
- **Practice address phone:** (214) 987-4827
- **Mailing address:** 6131 LUTHER LN, SUITE 208, DALLAS, TX 75225-6223
- **Mailing address phone:** (214) 987-4827
- **Mailing address fax:** (214) 987-4838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 9005 | TX | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 12/05/2022
