# GREGG W. HORSTMEYER, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710422357
- **Authorized official:** DR. GREGG W. HORSTMEYER DDS (DENTIST)
- **Authorized official phone:** (765) 644-4343

## Contact information

- **Practice address:** 2038 BROADWAY ST, ANDERSON, IN 46012-1603
- **Practice address phone:** (765) 644-4343
- **Practice address fax:** (765) 644-4709
- **Mailing address:** 2038 BROADWAY ST, ANDERSON, IN 46012-1603
- **Mailing address phone:** (765) 644-4343
- **Mailing address fax:** (765) 644-4709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12008398 | IN | Yes |

## Other

- **Enumeration date:** 01/05/2017
- **Last updated:** 01/05/2017