Provider Demographics
NPI:1427045582
Name:HORSTMANN, BETTY JEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:JEAN
Last Name:HORSTMANN
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 1:7902 NW PLEASANT FORD RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERBY LAKE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-1516
Mailing Address - Country:US
Mailing Address - Phone:816-587-3633
Mailing Address - Fax:
Practice Address - Street 1:10002 NW AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1586
Practice Address - Country:US
Practice Address - Phone:861-891-8091
Practice Address - Fax:816-891-9343
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0150711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice