Provider Demographics
NPI:1386747939
Name:HORN, STEVEN A (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:HORN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:14527 N CHESHIRE ST
Mailing Address - City:BURTON
Mailing Address - State:OH
Mailing Address - Zip Code:44021
Mailing Address - Country:US
Mailing Address - Phone:440-834-4020
Mailing Address - Fax:440-834-1971
Practice Address - Street 1:14527 N CHESHIRE ST
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:OH
Practice Address - Zip Code:44021
Practice Address - Country:US
Practice Address - Phone:440-834-4020
Practice Address - Fax:440-834-1971
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21977122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist