Individual
WILLIAM JOSEPH HORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
(617) 987-8222
Mailing address
PO BOX 29, HAMPSTEAD, NH 03841-0029
(603) 329-7022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14586
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14586
DELTA DENTAL
MA
01
—
X11131
BCBS
MA
Enumeration date
10/11/2006
Last updated
10/12/2015
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