Provider Demographics
NPI:1972749976
Name:VANDERHORST, KATHERINE ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:VANDERHORST
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1246 NILLES RD STE 3
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-2785
Mailing Address - Country:US
Mailing Address - Phone:513-829-1117
Mailing Address - Fax:513-829-2881
Practice Address - Street 1:1246 NILLES RD STE 3
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-2785
Practice Address - Country:US
Practice Address - Phone:513-829-1117
Practice Address - Fax:513-829-2881
Is Sole Proprietor?:No
Enumeration Date:2008-12-21
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022907122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist