Provider Demographics
NPI:1982869756
Name:HORTON, NATHAN SEYMOUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:SEYMOUR
Last Name:HORTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 HONEY CRISP WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-4648
Mailing Address - Country:US
Mailing Address - Phone:801-403-0645
Mailing Address - Fax:
Practice Address - Street 1:1345 E 3900 S STE 116
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-4407
Practice Address - Country:US
Practice Address - Phone:801-278-4223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT701302399221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice