Provider Demographics
NPI:1609062561
Name:HORNE, STEVEN BRYANT (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BRYANT
Last Name:HORNE
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 1:718 N COAST HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2071
Mailing Address - Country:US
Mailing Address - Phone:760-753-7185
Mailing Address - Fax:
Practice Address - Street 1:718 N COAST HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2071
Practice Address - Country:US
Practice Address - Phone:760-753-7185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8554122300000X
CA60245122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist