Jason David Henderson, DDS

General Practice Dentistry · Manlius, NY

Individual Active NPI

NPI number 1093987216

Practice location

8179 Cazenovia Rd.
Manlius, NY 13104
Phone
(315) 682-2466
Fax
(315) 682-3179

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NPI record

NPI
1093987216
Entity type
Individual (Type 1)
Enumeration date
March 27, 2008
Last updated
June 13, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 054488 NY

Mailing address

8179 Cazenovia Rd
Manlius, NY 13104-9778
Phone
(315) 682-2466
Fax
(315) 682-3179

About Dr. Henderson

Jason David Henderson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8179 Cazenovia Rd., Manlius, NY 13104. The NPI number 1093987216 was assigned on March 27, 2008 and the record was last updated on June 13, 2012.

Dr. Henderson lists a license in the registry: #054488 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason David Henderson, DDS?

The NPI number is 1093987216.

What is the phone number of Dr. Henderson?

The phone number listed for the practice location is (315) 682-2466.

Where is Dr. Henderson located?

8179 Cazenovia Rd., Manlius, NY 13104.

What is the taxonomy code for Dr. Henderson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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