Provider Demographics
NPI:1447564190
Name:BRANDON H. HORTON, DDS, PC
Entity Type:Organization
Organization Name:BRANDON H. HORTON, DDS, PC
Other - Org Name:6DAY DENTAL & ORTHODONTICS-COPPELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:HEATH
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-393-7348
Mailing Address - Street 1:120 S DENTON TAP RD
Mailing Address - Street 2:SUITE 270-A
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-3297
Mailing Address - Country:US
Mailing Address - Phone:972-393-7348
Mailing Address - Fax:
Practice Address - Street 1:120 S DENTON TAP RD
Practice Address - Street 2:SUITE 270-A
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3297
Practice Address - Country:US
Practice Address - Phone:972-393-7348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206672201Medicaid