| Dr.andrey M Horton Dds,pc | |
|
6434 N College Ave Ste A Indianapolis IN 46220-6602 | |
| (317) 251-3104 | |
| (317) 251-0120 |
| Full Name | Dr.andrey M Horton Dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 6434 N College Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Andrey M Horton (OWNER) |
| Authorized Official Contact | 3172513104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.andrey M Horton Dds,pc 6434 N College Ave Ste A Indianapolis IN 46220-6602 Ph: (317) 251-3104 | Dr.andrey M Horton Dds,pc 6434 N College Ave Ste A Indianapolis IN 46220-6602 Ph: (317) 251-3104 |
| NPI Number | 1346625159 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346625159 | NPI | - | NPPES |
| 1134284508 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010302A (Indiana) | Primary |
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