DR. LAUREL KELSEY ALYSSA HENDERSON DDS NPI 1205309648

NPI Information

  • NPI: 1205309648
  • Provider Name: DR. LAUREL KELSEY ALYSSA HENDERSON, DDS
  • Classification: Oral Medicine - 125Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 ALBANY STREET, 6TH FLOOR
    SUITE 6A
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 358-6775

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NPI Details

DR. Laurel Kelsey Alyssa Henderson, DDS is an oral medicine in Boston, MA. The provider is oral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders and conditions affecting the oral and maxillofacial region. Oral Medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases, medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, autoimmune disorders, including acute and chronic pain conditions of oral & maxillofacial region. Oral Medicine specialists co-manage oral and maxillofacial conditions and diseases in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention. DR. Laurel Kelsey Alyssa Henderson, DDS NPI is 1205309648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 ALBANY STREET, 6TH FLOOR
SUITE 6A
BOSTON, MA
ZIP 02118
Phone: (617) 358-6775
Fax: (617) 358-6781

The NPI 1205309648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/8/2019 and was last updated on 7/7/2025.

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
11223X2210XDentistOrofacial Pain104477CALIFORNIANo
2125Q00000XOral Medicine104477CALIFORNIAYes

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: 11/21/2025

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