Dr. Justin Ray Horne
Pediatric Dentist
5 Doctor Cir
Longview
, Texas 75605-5050
Dr. Justin Ray Horne
Pediatric Dentist
5 Doctor Cir
Longview
, Texas 75605-5050
(903) 758-8116
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Justin Ray Horne
- 5 Doctor Cir
- Longview, TX
- Zip : 75605-5050
- Fax : (903) 758-8116
- Phone : (903) 758-6406
Second Address
- Dr. Justin Ray Horne
- 5 Doctor Cir
- Longview, TX
- Zip : 75605-5050
- Fax : (903) 758-8116
- Phone : (903) 758-6406
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 20796 | TX |
National Provider Identifier
| NPI | 1023163524 |
|---|---|
| Provider Name | Dr. Justin Ray Horne |
| First Address | Longview, TX 75605-5050 |
| Second Address | Longview, TX 75605-5050 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.