Mark A. Henke, DMD

General Practice Dentistry · Corvallis, OR

Individual Active NPI

NPI number 1104076033

Practice location

2605 NW Rolling Green Drive
Corvallis, OR 97330
Phone
(541) 757-0082

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NPI record

NPI
1104076033
Entity type
Individual (Type 1)
Enumeration date
September 29, 2008
Last updated
September 29, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7151 OR

About Dr. Henke

Mark A. Henke, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2605 NW Rolling Green Drive, Corvallis, OR 97330. The NPI number 1104076033 was assigned on September 29, 2008 and the record was last updated on September 29, 2008.

Dr. Henke lists a license in the registry: #7151 (OR) 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 Mark A. Henke, DMD?

The NPI number is 1104076033.

What is the phone number of Dr. Henke?

The phone number listed for the practice location is (541) 757-0082.

Where is Dr. Henke located?

2605 NW Rolling Green Drive, Corvallis, OR 97330.

What is the taxonomy code for Dr. Henke?

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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