MEDICARE: DR. JEFFREY W HOROWITZ 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
1	1223G0001X	General Practice Dentistry	3112	SC

General Provider Information

NPI Number	:	1679576664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY W HOROWITZ DMD

Provider Business Mailing Address
First Line	:	4310 HIGHWAY 17 UNIT 101
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5139
Country	:	US
Telephone Number	:	843-898-5377
Fax Number	:	843-651-9779

Provider Business Practice Location Address
First Line	:	4310 HIGHWAY 17 BYPASS
Second Line	:	SUITE 101
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5022
Country	:	US
Telephone Number	:	843-898-5377
Fax Number	:	843-651-9779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/03/2026

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