Individual provider · Type 1 NPI
Malcolm Edward Thornton, DMD
General Practice Dentistry · Fort Polk, LA
NPI number
1205923943
Active
Practice location
Fort Polk Dentac, 1585 3rd Street, Ste 6119A
Fort Polk, LA 71459
Fax (337) 531-4715
Mailing address
43 Martin's Way
Sugar Land, TX 77479-2485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 18493 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1205923943
Malcolm Edward Thornton, DMD's National Provider Identifier is 1205923943, issued on Oct 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Polk, LA. The record was last updated on Jul 8, 2007.