Provider Demographics
NPI:1912003179
Name:HORNER, CRAIG W (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:W
Last Name:HORNER
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11757 W KEN CARYL AVE UNIT K
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3719
Mailing Address - Country:US
Mailing Address - Phone:303-972-9710
Mailing Address - Fax:303-972-9704
Practice Address - Street 1:11757 W KEN CARYL AVE UNIT K
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3719
Practice Address - Country:US
Practice Address - Phone:303-972-9710
Practice Address - Fax:303-972-9704
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1043241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics