Individual
DR. TIMOTHY G THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 SPRING AVE, MOOREFIELD, WV 26836-1032
(304) 530-2775
(304) 530-3646
Mailing address
412 TANGLEWOOD DR, OLD FIELDS, WV 26845-9104
(304) 530-6816
(304) 530-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2966
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133804000
—
WV
Enumeration date
08/31/2006
Last updated
07/08/2007
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