Horner, Gerald D.
Horner, Gerald D. is an sole proprietor health care provider with primary practice located at 10668 Hunters Glen Dr , San Diego CA 92130-4850. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Horner, Gerald D. can be contacted via phone (619) 905-4289.Contact Information
Primary practice address
10668 Hunters Glen Dr
San Diego CA 92130-4850
Phone: (619) 905-4289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 38429 | California |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 38429 | California |
Profile Details
| NPI number | 1871526764 |
|---|---|
| LBN Legal business name | Horner, Gerald D. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 13th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871526764 | NPPES |
| California | Other | 112162 | MEDICARE ID |
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