Provider Demographics
NPI:1952455867
Name:RONALD D. HORNE, DDS, PA
Entity Type:Organization
Organization Name:RONALD D. HORNE, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-454-6744
Mailing Address - Street 1:4306 MEDICAL PKWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3312
Mailing Address - Country:US
Mailing Address - Phone:512-454-6744
Mailing Address - Fax:512-419-0133
Practice Address - Street 1:4306 MEDICAL PKWY
Practice Address - Street 2:SUITE 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3312
Practice Address - Country:US
Practice Address - Phone:512-454-6744
Practice Address - Fax:512-419-0133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX127401223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty