Provider Demographics
NPI:1124342837
Name:HORIZON OMS, INC
Entity type:Organization
Organization Name:HORIZON OMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BABER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:479-464-5800
Mailing Address - Street 1:PO BOX 1736
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145-1736
Mailing Address - Country:US
Mailing Address - Phone:479-464-5800
Mailing Address - Fax:479-464-5880
Practice Address - Street 1:3333 PINNACLE HILLS PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8953
Practice Address - Country:US
Practice Address - Phone:479-464-5800
Practice Address - Fax:479-464-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3594204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty