Provider Demographics
NPI:1003958802
Name:HORSEWOOD, ARLEN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARLEN
Middle Name:R
Last Name:HORSEWOOD
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 1:11422 HOAGLAND RD
Mailing Address - Street 2:
Mailing Address - City:HOAGLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46745-0000
Mailing Address - Country:US
Mailing Address - Phone:260-639-6638
Mailing Address - Fax:
Practice Address - Street 1:11422 HOAGLAND RD
Practice Address - Street 2:
Practice Address - City:HOAGLAND
Practice Address - State:IN
Practice Address - Zip Code:46745-0000
Practice Address - Country:US
Practice Address - Phone:260-639-6638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007245A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice