Individual
DR. THOMAS OWEN HORN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
247 BYRD AVE N, PHILADELPHIA, MS 39350-3043
(601) 656-5591
Mailing address
247 BYRD AVE N, PHILADELPHIA, MS 39350-3043
(601) 656-5591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3004-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014559
—
MS
Enumeration date
11/15/2006
Last updated
05/21/2013
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