Provider Demographics
NPI:1255136560
Name:JOSEPH HORST, DDS, PLLC
Entity type:Organization
Organization Name:JOSEPH HORST, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HORST
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-205-4079
Mailing Address - Street 1:5459 LONG DR
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-2318
Mailing Address - Country:US
Mailing Address - Phone:916-205-4079
Mailing Address - Fax:
Practice Address - Street 1:5972 CAHILL AVE STE 109
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-1521
Practice Address - Country:US
Practice Address - Phone:651-450-1602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty