# DR. JOHN CHARLES HORNBERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619243482
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 28622 | TX | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9715 | KY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 28622 | TX | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 9715 | KY | — |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 11/04/2020