Provider Demographics
NPI:1669597423
Name:HORALEK, ANTHONY L (DDS MS)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:L
Last Name:HORALEK
Suffix:
Gender:
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 BANDFORD WAY
Mailing Address - Street 2:#105
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-256-3996
Mailing Address - Fax:919-256-3999
Practice Address - Street 1:8330 BANDFORD WAY
Practice Address - Street 2:#105
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-256-3996
Practice Address - Fax:919-256-3999
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6679122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist