Individual
DR. ANTHONY JAMES HORNADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
620 S TILLOTSON AVE, MUNCIE, IN 47304-4448
(765) 289-9705
(765) 289-9706
Mailing address
620 S TILLOTSON AVE, MUNCIE, IN 47304-4448
(765) 289-9705
(765) 289-9706
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200421550
—
IN
Enumeration date
06/09/2006
Last updated
07/24/2014
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