Organization
EAST TAYLOR DENTAL PC
Active
Other names
EASTDALE DENTAL GROUP PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KILLIAN JOSEPH HORNER DDS (OWNER/PRESIDENT)
(334) 271-4600
Entity
Organization
Contact information
Practice address
2201 TAYLOR ROAD, MONTGOMERY, AL 36117-3498
(334) 271-4600
(334) 271-4709
Mailing address
2201 TAYLOR ROAD, MONTGOMERY, AL 36117-3498
(334) 271-4600
(334) 271-4709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816933
UNITED CONCORDIA
—
01
—
90188
BCBS
AL
Enumeration date
09/06/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us