Physician Compare National (NPI:1366651663)

HEALTHCARE PROVIDER: GARY EDWARD HORBLITT MAXILLOPROSTHODONTIS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366651663
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042492381
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110308000918
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HORBLITT
	Individual professional last name
Provider First Name	GARY
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2226 BLACK ROCK TPKE
	Group Practice or individual's line 1 address
City	FAIRFIELD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068253240
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2033667600
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y