Individual
DR. ANDREW THOMAS HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5020 W LLOYD EXPY STE 200, EVANSVILLE, IN 47712-6580
(812) 463-8000
Mailing address
10302 ANCHOR WAY, EVANSVILLE, IN 47725-8163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013178A
IN
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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