Mike R. Henrickson, DDS

General Practice Dentistry · Maplewood, MN

Individual Active NPI

NPI number 1629291380

Practice location

1560 Beam Ave
Suite 2
Maplewood, MN 55109-1191
Phone
(651) 777-8900
Fax
(651) 777-8908

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NPI record

NPI
1629291380
Entity type
Individual (Type 1)
Enumeration date
April 11, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11920 MN

About Dr. Henrickson

Mike R. Henrickson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1560 Beam Ave, Suite 2, Maplewood, MN 55109-1191. The NPI number 1629291380 was assigned on April 11, 2007 and the record was last updated on July 8, 2007.

Dr. Henrickson lists a license in the registry: #D11920 (MN) 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 Mike R. Henrickson, DDS?

The NPI number is 1629291380.

What is the phone number of Dr. Henrickson?

The phone number listed for the practice location is (651) 777-8900.

Where is Dr. Henrickson located?

1560 Beam Ave, Suite 2, Maplewood, MN 55109-1191.

What is the taxonomy code for Dr. Henrickson?

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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