Individual
DR. CRAIG ALEXANDER HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
519 IVY SPRING CT, SENECA, SC 29678-5750
(864) 710-2410
Mailing address
519 IVY SPRING CT, APT 127, SENECA, SC 29678-5750
(864) 710-2410
(864) 710-2410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4105
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105
STATE LICENSE NUMBER
SC
Enumeration date
04/18/2007
Last updated
06/27/2010
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