HENRY L DEGENOVA DDS NPI 1386620664

NPI Information

  • NPI: 1386620664
  • Provider Name: HENRY L DEGENOVA, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 28321 S TAMIAMI TRL
    BONITA SPRINGS, FL
    ZIP 34134
  • Phone: (239) 344-2322

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NPI Details

Henry L Degenova, DDS is a general practice dentist in Bonita Springs, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Henry L Degenova, DDS NPI is 1386620664. 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:

28321 S TAMIAMI TRL
BONITA SPRINGS, FL
ZIP 34134-226
Phone: (239) 344-2322
Fax: (239) 390-0523

The enumeration date for this NPI number is 12/19/2005 and was last updated on 6/17/2011.

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
11223G0001XDentistGeneral Practice30-01-1576OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1075698900MEDICAIDFLORIDA

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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