Mark Reagan Henderson, D.D.S.

General Practice Dentistry · Tinker Afb, OK

Individual Active NPI

NPI number 1376562082

Practice location

5700 Arnold St
Tinker Afb, OK 73145-8105
Phone
(405) 736-2113

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NPI record

NPI
1376562082
Entity type
Individual (Type 1)
Enumeration date
July 19, 2006
Last updated
September 2, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13986 TX

About Dr. Henderson

Mark Reagan Henderson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5700 Arnold St, Tinker Afb, OK 73145-8105. The NPI number 1376562082 was assigned on July 19, 2006 and the record was last updated on September 2, 2009.

Dr. Henderson lists a license in the registry: #13986 (TX) 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 Reagan Henderson, D.D.S.?

The NPI number is 1376562082.

What is the phone number of Dr. Henderson?

The phone number listed for the practice location is (405) 736-2113.

Where is Dr. Henderson located?

5700 Arnold St, Tinker Afb, OK 73145-8105.

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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