Provider Demographics
NPI:1487676219
Name:HORCHOS, CARL J (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:J
Last Name:HORCHOS
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 1:319 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3202
Mailing Address - Country:US
Mailing Address - Phone:610-384-2320
Mailing Address - Fax:610-384-7961
Practice Address - Street 1:319 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3202
Practice Address - Country:US
Practice Address - Phone:610-384-2320
Practice Address - Fax:610-384-7961
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0275641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice