Provider Demographics
NPI:1568167963
Name:HORIZON DENTAL ENTERPRISES, PLLC
Entity Type:Organization
Organization Name:HORIZON DENTAL ENTERPRISES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GUARANTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIJIOKE
Authorized Official - Middle Name:ONYINYECHUKWU
Authorized Official - Last Name:ESEONU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:804-920-4838
Mailing Address - Street 1:609 SILENT CREEK CV
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2970
Mailing Address - Country:US
Mailing Address - Phone:804-920-4838
Mailing Address - Fax:
Practice Address - Street 1:609 SILENT CREEK CV
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2970
Practice Address - Country:US
Practice Address - Phone:804-920-4838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty