Provider Demographics
NPI:1053327825
Name:HORTON, HAROLD L (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:HORTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 INWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525
Mailing Address - Country:US
Mailing Address - Phone:203-389-2074
Mailing Address - Fax:203-389-2074
Practice Address - Street 1:32 CHERRY STREET
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460
Practice Address - Country:US
Practice Address - Phone:203-878-8596
Practice Address - Fax:203-878-3662
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0034191223P0300X
CT034191223P0300X
MADN9324120384SERIAL1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics