Individual
DR. WILLIAM E THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6501 BLANCO RD, SAN ANTONIO, TX 78216-6627
(210) 341-7264
(210) 341-2022
Mailing address
6501 BLANCO RD, SAN ANTONIO, TX 78216
(210) 341-7264
(210) 341-2022
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N96A
GROUP BCBS
—
05
—
1207540-04
—
TX
05
—
1207540-05
—
TX
05
—
1207540-06
—
TX
05
—
1207540-07
—
TX
05
—
1207540-08
—
TX
05
—
1207540-09
—
TX
05
—
1207540-10
—
TX
01
—
731009960006
TRICARE
—
01
—
80W702
BCBS
—
01
—
838355
UNITED CONCORDIA
—
Enumeration date
01/12/2006
Last updated
01/26/2011
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