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NPI Code Detail

MEDICARE: DR. DORSEY L VANHORN DMD

MEDICARE:  DR. DORSEY L VANHORN  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN009392GA

General Provider Information

NPI Number : 1689740730
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DORSEY L VANHORN DMD
Provider Business Mailing Address
First Line : 530 RED BUD ROAD
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1961
Country : US
Telephone Number : 706-625-4190
Fax Number : 706-625-4199
Provider Business Practice Location Address
First Line : 530 RED BUD ROAD
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1961
Country : US
Telephone Number : 706-625-4190
Fax Number : 706-625-4199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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