DR. DANIEL PEARSON HENRICHSEN DMD NPI 1962473702

NPI Information

NPI: 1962473702
Provider Name: DR. DANIEL PEARSON HENRICHSEN, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
190 GOOD DR.
LANCASTER, PA
ZIP 17603
Phone: (717) 394-3033
Get Directions

DR. Daniel Pearson Henrichsen, DMD is an oral and maxillofacial surgery dentist in Lancaster, PA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Daniel Pearson Henrichsen, DMD NPI is 1962473702. 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:

190 GOOD DR.
LANCASTER, PA
ZIP 17603
Phone: (717) 394-3033
Fax: (717) 390-2641

The NPI 1962473702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/30/2006 and was last updated on 7/9/2007.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS031646L	PENNSYLVANIA	Yes
2	1223P0106X	Dentist	Oral and Maxillofacial Pathology	DS031646L	PENNSYLVANIA	X

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
1	DS031646L	OTHER	PENNSYLVANIA	DENTAL LICENSE NUMBER
2	32271	OTHER	PENNSYLVANIA	BLUE SHIELD ID NUMBER
3	V04456	MEDICARE UPIN	PENNSYLVANIA
4	089278EBF	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
5	1014911850001	MEDICAID	PENNSYLVANIA

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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