ROBERT L. HENDERSON D.M.D PSC NPI 1073775771

NPI Information

NPI: 1073775771
Provider Name: ROBERT L. HENDERSON, D.M.D PSC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
903 MAIN ST
WEST LIBERTY, KY
ZIP 41472
Phone: (606) 743-7480
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ROBERT L. HENDERSON, D.M.D PSC is a dental clinic center in West Liberty, KY. ROBERT L. HENDERSON, D.M.D PSC NPI is 1073775771. The provider is registered as an organization entity type.

The provider's business location address is:

903 MAIN ST
WEST LIBERTY, KY
ZIP 41472-023
Phone: (606) 743-7480
Fax: (606) 743-7481

The provider's authorized official is Robert L Henderson .
The authorized official title is Office Manager and has the following contact phone number (606) 743-7480.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 8/25/2008.

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	261QD0000X	Clinic/Center	Dental			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: 5/5/2024

NPI Synchronization or Removal

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