Provider Demographics
NPI:1932127875
Name:HORTON, GALLANT, MAJAUSKAS, D.D.S. , PC
Entity Type:Organization
Organization Name:HORTON, GALLANT, MAJAUSKAS, D.D.S. , PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALGIMANTAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAJAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-939-3333
Mailing Address - Street 1:11453 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-3809
Mailing Address - Country:US
Mailing Address - Phone:586-939-3333
Mailing Address - Fax:586-939-8183
Practice Address - Street 1:11453 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-3809
Practice Address - Country:US
Practice Address - Phone:586-939-3333
Practice Address - Fax:586-939-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty