Organization
OLIVE BRANCH ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOSEPH HORWAT OWNER/D.M.D. (ENDODONTIST)
(615) 707-2090
Entity
Organization
Contact information
Practice address
40 W CALDWELL ST STE 203, MT JULIET, TN 37122-3179
(615) 808-0027
Mailing address
40 W CALDWELL ST STE 203, MT JULIET, TN 37122-3179
(615) 808-0027
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124081997
INDIVIDUAL NPI
TN
Enumeration date
12/30/2024
Last updated
12/30/2024
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