Charles Vance Hendrickson, DMD

Dentist · Mt Pleasant, TN

Individual Active NPI

NPI number 1659485183

Practice location

703 N Main St
Mt Pleasant, TN 38474
Phone
(931) 379-7711
Fax
(931) 379-7729

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NPI record

NPI
1659485183
Entity type
Individual (Type 1)
Enumeration date
August 19, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DS3102 TN

Mailing address

PO Box 232
Mt Pleasant, TN 38474
Phone
(931) 379-7711
Fax
(931) 379-7729

About Dr. Hendrickson

Charles Vance Hendrickson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 703 N Main St, Mt Pleasant, TN 38474. The NPI number 1659485183 was assigned on August 19, 2006 and the record was last updated on July 8, 2007.

Dr. Hendrickson lists a license in the registry: #DS3102 (TN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Vance Hendrickson, DMD?

The NPI number is 1659485183.

What is the phone number of Dr. Hendrickson?

The phone number listed for the practice location is (931) 379-7711.

Where is Dr. Hendrickson located?

703 N Main St, Mt Pleasant, TN 38474.

What is the taxonomy code for Dr. Hendrickson?

The primary taxonomy code is 122300000X – Dentist.

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.