Patrick J. Henderson, D.D.S.

General Practice Dentistry · Mandeville, LA

Individual Active NPI

NPI number 1457651192

Practice location

4040 Lonesome Rd
Mandeville, LA 70448-7085
Phone
(985) 626-5030

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NPI record

NPI
1457651192
Entity type
Individual (Type 1)
Enumeration date
October 28, 2010
Last updated
October 28, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6123 LA

Mailing address

159 E Oakridge Park
Metairie, LA 70005-4018

About Dr. Henderson

Patrick J. 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 4040 Lonesome Rd, Mandeville, LA 70448-7085. The NPI number 1457651192 was assigned on October 28, 2010 and the record was last updated on October 28, 2010.

Dr. Henderson lists a license in the registry: #6123 (LA) 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 Patrick J. Henderson, D.D.S.?

The NPI number is 1457651192.

What is the phone number of Dr. Henderson?

The phone number listed for the practice location is (985) 626-5030.

Where is Dr. Henderson located?

4040 Lonesome Rd, Mandeville, LA 70448-7085.

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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