Individual
DR. WILLIAM ROBERT THORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
808 HIGHWAY 378 STE C, LEXINGTON, SC 29072-8377
(803) 339-1086
Mailing address
537 PLYMOUTH PASS DR, LEXINGTON, SC 29072-7028
(606) 232-6821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6481
KY
1223G0001X
General Practice Dentistry
Primary
9089
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064813
—
KY
05
—
7100156380
—
KY
Enumeration date
02/07/2007
Last updated
03/07/2019
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