Individual
DR. STUART JEROME HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
599 MAIN ST, MANCHESTER, CT 06040-5156
(860) 647-1565
(860) 643-2796
Mailing address
46 GREENTREE DR, GLASTONBURY, CT 06033-2628
(860) 633-8646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5096
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020005096CT01
ANTHEM FEDERAL
CT
01
—
120905
UNITED CONCORDIA
CT
01
—
Z05940
BCBS MASS
CT
Enumeration date
03/01/2007
Last updated
07/08/2007
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