Provider Demographics
NPI:1851509871
Name:MARK A. HORVATH, DDS
Entity Type:Organization
Organization Name:MARK A. HORVATH, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-524-7677
Mailing Address - Street 1:401 GILFORD AVE STE 245
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-7526
Mailing Address - Country:US
Mailing Address - Phone:603-524-7677
Mailing Address - Fax:603-524-7314
Practice Address - Street 1:401 GILFORD AVE STE 245
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-7526
Practice Address - Country:US
Practice Address - Phone:603-524-7677
Practice Address - Fax:603-524-7314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2086122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty