Organization
DR. TY E. HORNSBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY E HORNSBY D.D.S., P.A. (PRESIDENT)
(828) 693-4163
Entity
Organization
Contact information
Practice address
902 FLEMING ST., HENDERSONVILLE, NC 28791
(828) 693-4163
(828) 693-4121
Mailing address
902 FLEMING ST., HENDERSONVILLE, NC 28791
(828) 693-4163
(828) 693-4121
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994145
—
NC
01
—
94145
BCBSOF NC
NC
Enumeration date
10/25/2006
Last updated
08/15/2008
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