NPI 1053449330

Stuart Jerome Horn, DMD

Practitioner General Practice Dentistry Manchester, CT

Practice location

Address: 599 Main St, Manchester, CT 06040-5156
Phone: (860) 647-1565
Fax: (860) 643-2796
Mailing address: 46 Greentree Dr, Glastonbury, CT 06033-2628

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5096 (CT)

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Registry record

NPI: 1053449330
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.