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NPI Code Detail

MEDICARE: DR. ANDREW RICHARD HORNE D.D.S.

MEDICARE: DR. ANDREW RICHARD HORNE D.D.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry41250TX
21223X0400XOrthodontics and Dentofacial Orthopedics DentistryD010974AZ
31223X0400XOrthodontics and Dentofacial Orthopedics DentistryDEN.00202691CO

General Provider Information

NPI Number : 1023475084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW RICHARD HORNE D.D.S.
Provider Business Mailing Address
First Line : 4008 N 33RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-4510
Country : US
Telephone Number : 602-610-3226
Fax Number :
Provider Business Practice Location Address
First Line : 4008 N 33RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-4510
Country : US
Telephone Number : 602-610-3226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2016
Last Update Date : 11/06/2025

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