Provider Demographics
NPI:1609264779
Name:HORKAN, JILLIAN (DDS)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:HORKAN
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 1:604 GLACIER DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-1074
Mailing Address - Country:US
Mailing Address - Phone:308-249-1233
Mailing Address - Fax:
Practice Address - Street 1:629 E STAR CT
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-6701
Practice Address - Country:US
Practice Address - Phone:970-249-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-24
Last Update Date:2014-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002024141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice