| Thornton Family Dental Care | |
|
2864 Traceland Dr Tupelo MS 38801-4200 | |
| (662) 842-0212 | |
| Not Available |
| Full Name | Thornton Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2864 Traceland Dr, Tupelo, Mississippi |
| Authorized Official Name and Position | Raymond Barry Thornton (OWNER) |
| Authorized Official Contact | 6628420212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornton Family Dental Care 2864 Traceland Dr Tupelo MS 38801-4200 Ph: (662) 842-0212 | Thornton Family Dental Care 2864 Traceland Dr Tupelo MS 38801-4200 Ph: (662) 842-0212 |
| NPI Number | 1386854644 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386854644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3017 (Mississippi) | Primary |
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