Provider Demographics
NPI:1801003538
Name:CE HORSTMANN DDS RS TURNER JR DDS PA
Entity Type:Organization
Organization Name:CE HORSTMANN DDS RS TURNER JR DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER DENTAL HYGIENIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:704-364-8685
Mailing Address - Street 1:319 S SHARON AMITY ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2834
Mailing Address - Country:US
Mailing Address - Phone:704-364-8685
Mailing Address - Fax:704-365-1748
Practice Address - Street 1:319 S SHARON AMITY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2834
Practice Address - Country:US
Practice Address - Phone:704-364-8685
Practice Address - Fax:704-365-1748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3619122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty