Individual
DR. JEFFREY ALLAN HOROWTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
2257 W END AVE, POTTSVILLE, PA 17901-1825
(570) 622-9746
(570) 622-3723
Mailing address
2257 W END AVE, POTTSVILLE, PA 17901-1825
(570) 622-9746
(570) 622-3723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS031220L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS031220-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018170890001
—
PA
01
—
2438481
AETNA
PA
01
—
484716
HIGHMARK BLUE SHIELD
PA
01
—
50004506
CAPITAL BLUE CROSS
PA
Enumeration date
11/08/2005
Last updated
07/21/2022
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