Hornsby, Charles Grady

Hornsby, Charles Grady is an individual health care provider with primary practice located at 5227 Flanders Dr , Baton Rouge LA 70808-9169. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hornsby, Charles Grady can be contacted via phone (225) 769-3600.

Contact Information

Primary practice address
5227 Flanders Dr Baton Rouge LA 70808-9169
Phone: (225) 769-3600
Fax: (225) 767-3275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2719 Louisiana

Profile Details

NPI number 1407824204
LBN Legal business name Hornsby, Charles Grady
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407824204 NPPES
Louisiana Other F2281 BCBS OF LA
Louisiana MEDICAID 1827193 BCBS OF LA

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