Individual
DANIEL JOSEPH THORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA, TX 78236-5638
(210) 292-7876
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11839386-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11839386-9921
UT
171000000X
Military Health Care Provider
11839386-9921
UT
Other
Enumeration date
05/28/2020
Last updated
08/07/2025
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