Thomas Owen Horn Jr., D.M.D
Individual provider Active NPI General Practice Dentistry · Philadelphia, MS
NPI 1063585693 · NPPES record last updated May 21, 2013
Key facts
- NPI
- 1063585693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3004-97 (MS)
- Practice address
- 247 Byrd Ave N
Philadelphia, MS 39350-3043 - Phone
- (601) 656-5591
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004-97 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horn Family Dental, PLLC | Current |
Accepting new patients |
Locations
247 Byrd Ave N
Philadelphia, MS 39350
Phone (601) 656-5591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3004-97 | MS | Yes |
Addresses
Primary practice location
247 Byrd Ave N
Philadelphia, MS 39350-3043
Mailing address
247 Byrd Ave N
Philadelphia, MS 39350-3043
Phone (601) 656-5591
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014559 | Medicaid | MS |
Other providers in Philadelphia, MS
- Sidney Stuart Hill
- Sherry Hollingsworth
- Holly Health Care, Inc.
- Adrienne Holmes
- Horn Family Dental, PLLC
- Hospital Discount Pharmacy Inc
- John J Hunter
- Crystal N Ibetoh
- Indian Springs Medical Clinic LLC
- Insight Counseling & Consulting, LLC
All providers in Philadelphia, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.