Malcolm Edward Thornton, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18493 Issued in TX

Practice address

Fort Polk Dentac
1585 3Rd Street, Ste 6119a
Fort Polk, LA 71459

Phone

(337) 531-4400

Fax

(337) 531-4715

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205923943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MARTIN'S WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792485",
            "telephone_number": "281-491-8204",
            "fax_number": "281-491-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT POLK DENTAC",
            "address_2": "1585 3RD STREET, STE 6119A",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "337-531-4400",
            "fax_number": "337-531-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "MALCOLM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Hugh Tan
• Heather Leigh Thomas, ATC
• Lesli Kaaryn Thomas, DO
• Stephanie Dyane Thomas, DDS
• Sandra Thompson
• Laurel Ashlin Thurston, MD
• Gerard Tiffault, MD
• Adrian Yvette Todd, LCSW
• Douglas Tortella, CRNA
• Phuong Tran

• General Practice Dentistry in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.