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NPI Code Detail

MEDICARE: MS. LESLIE C. HORN DMD

MEDICARE:  MS. LESLIE C. HORN  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
11223P0300XPeriodontics6605KY

General Provider Information

NPI Number : 1396882270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE C. HORN DMD
Provider Business Mailing Address
First Line : 3349 TATES CREEK RD
Second Line : SUITE 208
City : LEXINGTON
State : KY
Zip : 40502-3467
Country : US
Telephone Number : 859-268-4404
Fax Number : 859-268-9562
Provider Business Practice Location Address
First Line : 3349 TATES CREEK RD
Second Line : SUITE 208
City : LEXINGTON
State : KY
Zip : 40502-3467
Country : US
Telephone Number : 859-268-4404
Fax Number : 859-268-9562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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Directions to “ MS. LESLIE C. HORN DMD” Practice Location

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