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NPI 1619329307

IndividualActive

Kenneth Hortman

NPI 1619329307 · Denturist · Roberta, GA

Provider details

NPI number: 1619329307
Entity type: Individual
Primary specialty: DenturistDental Providers
Sex: Male
Sole proprietor: No

Practice location

143 E Crusselle St

Roberta, GA 31078-4866

Phone: (478) 836-2994

More GA providers

Mailing address

Po Box 900

Roberta, GA 31078-0900

Registry dates

Enumerated: 2016-07-06
Last updated: 2016-07-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kenneth Hortman — NPI 1619329307, Roberta, GA | NPI Central