Individual
DR. JOHN RICHARD THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2224 BROOK STREET, WICHITA FALLS, TX 76301
(940) 767-8009
(940) 767-6252
Mailing address
2224 BROOK STREET, WICHITA FALLS, TX 76301
(940) 767-8009
(940) 767-6252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15103
DENTAL LICENSE NUMBER
TX
Enumeration date
09/01/2006
Last updated
07/08/2007
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