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BRAXTON M HENDERSON DMD PA NPI 1154902021


NPI Information

NPI: 1154902021
Provider Name: BRAXTON M HENDERSON DMD PA
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
2643 RANDLEMAN RD
GREENSBORO, NC
ZIP 27406
Phone: (252) 213-8484
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BRAXTON M HENDERSON DMD PA 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 M HENDERSON DMD PA NPI is 1154902021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2643 RANDLEMAN RD
GREENSBORO, NC
ZIP 27406-153
Phone: (252) 213-8484

The provider's authorized official is Braxton M Henderson .
The authorized official title is President and has the following contact phone number (901) 493-7721.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 4/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0004XDentistDentist AnesthesiologistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.