Healthcare Provider Details

I. General information

NPI: 1720995673
Provider Name (Legal Business Name): WILLIAM SCOTT HORTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N FRONT ST
NEW BEDFORD MA
02740-7327
US

IV. Provider business mailing address

72 KILBURN ST
NEW BEDFORD MA
02740-7321
US

V. Phone/Fax

Practice location:
  • Phone: 877-670-9957
  • Fax:
Mailing address:
  • Phone: 508-436-4545
  • Fax: 774-628-7038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: