Provider Demographics
NPI:1922138064
Name:R. SUSAN HORSLEY, D.M.D
Entity Type:Organization
Organization Name:R. SUSAN HORSLEY, D.M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-881-8844
Mailing Address - Street 1:322 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1720
Mailing Address - Country:US
Mailing Address - Phone:603-881-8844
Mailing Address - Fax:603-886-6513
Practice Address - Street 1:322 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1720
Practice Address - Country:US
Practice Address - Phone:603-881-8844
Practice Address - Fax:603-886-6513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH25101223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty