Individual
DR. JOHN LEE HORTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
96 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 263-0707
Mailing address
96 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 263-0707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2050
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3454
MARYLAND DENTAL PLAN
MD
01
—
704411
BCBS
PA
Enumeration date
11/29/2006
Last updated
07/08/2007
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