Provider Demographics
NPI:1225383920
Name:HORNBERGER, SIERRA VICTORIA GARTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SIERRA
Middle Name:VICTORIA GARTIN
Last Name:HORNBERGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 US HWY 75 STE 201
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4582
Mailing Address - Country:US
Mailing Address - Phone:903-416-8585
Mailing Address - Fax:
Practice Address - Street 1:4616 US HWY 75 STE 201
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4582
Practice Address - Country:US
Practice Address - Phone:903-416-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice