BRAXTON HENDERSON DMD NPI 1043664188

NPI Information

NPI: 1043664188
Provider Name: BRAXTON HENDERSON, DMD
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

Address:
510 NICHOLAS RD STE F
GREENSBORO, NC
ZIP 27409
Phone: (252) 213-8484
Get Directions

Braxton Henderson, DMD is a dentist anesthesiologist dentist in Greensboro, NC. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. Braxton Henderson, DMD NPI is 1043664188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 NICHOLAS RD STE F
GREENSBORO, NC
ZIP 27409-404
Phone: (252) 213-8484

The enumeration date for this NPI number is 4/14/2016 and was last updated on 2/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DS040743	PENNSYLVANIA	No
2	1223D0004X	Dentist	Dentist Anesthesiologist	10942	NORTH CAROLINA	No
3	1223D0004X	Dentist	Dentist Anesthesiologist	0401416381	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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