Individual
DR. JOSHUA CHARLES VANHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
555 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3423
(231) 947-0210
Mailing address
1011 N UNIVERSITY AVE, ROOM 2008, SPC 1078, ANN ARBOR, MI 48109-1078
(734) 615-8606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020719
MI
1223G0001X
General Practice Dentistry
2901020719
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-3539115
—
MI
Enumeration date
06/06/2012
Last updated
12/29/2021
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