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General NPI Number Information
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NPI Number | 1265986855
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Entity Type | Organization
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Legal Business Name | MICHAEL T. HORN, DDS, PLLC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 530 SPRING ST
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250
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Country | US
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Telephone | 360-378-4944
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Fax | 360-378-2823
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Provider Business Mailing Address
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Address Line | PO BOX 772
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-0772
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Country | US
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Telephone | 360-378-4944
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Fax | 360-378-2823
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Authorized Official
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Title or Position | OFFICE ADMIN/HYGIENIST
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Name | BARBARA HIXSON FOSTER
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Credential | DO
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Telephone | 360-378-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE00010001
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License Number State | WA
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