| Horizon Dental Enterprises, Pllc | |
|
609 Silent Creek Cv Georgetown TX 78628-2970 | |
| (804) 920-4838 | |
| Not Available |
| Full Name | Horizon Dental Enterprises, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 609 Silent Creek Cv, Georgetown, Texas |
| Authorized Official Name and Position | Chijioke Onyinyechukwu Eseonu (GUARANTOR/OWNER) |
| Authorized Official Contact | 8049204838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Dental Enterprises, Pllc 609 Silent Creek Cv Georgetown TX 78628-2970 Ph: (804) 920-4838 | Horizon Dental Enterprises, Pllc 609 Silent Creek Cv Georgetown TX 78628-2970 Ph: (804) 920-4838 |
| NPI Number | 1568167963 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Medicare PECOS PAC ID | 0042677932 |
|---|---|
| Medicare Enrollment ID | O20230608000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568167963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Chijioke Onyinyechukwu Eseonu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477972073 PECOS PAC ID: 8527425255 Enrollment ID: I20230612000414 |
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