| Anthony J. Hornaday, D.D.S. | |
|
620 S Tillotson Ave Muncie IN 47304-4448 | |
| (765) 289-9705 | |
| (765) 289-9706 |
| Full Name | Anthony J. Hornaday, D.D.S. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 620 S Tillotson Ave, Muncie, Indiana |
| Authorized Official Name and Position | Anthony J. Hornaday (OWNER/ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 7652899705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony J. Hornaday, D.D.S. 620 S Tillotson Ave Muncie IN 47304-4448 Ph: (765) 289-9705 | Anthony J. Hornaday, D.D.S. 620 S Tillotson Ave Muncie IN 47304-4448 Ph: (765) 289-9705 |
| NPI Number | 1235547498 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 07/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235547498 | NPI | - | NPPES |
| 200421550A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Indiana) | Primary |
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