Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MYRON A HENRICKSON, DDS
Active Sole ProprietorDR. MYRON A HENRICKSON, DDS is a General Dentistry healthcare provider located in LAKEVILLE, Minnesota. NPI 1023231776 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LAKEVILLE, MN
Registration Details
- NPI Number
- 1023231776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.348805804011 yrs)
- Last Updated
- Jul 26, 2018
- License
-
D9492 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17436 KENWOOD TRLLAKEVILLE, MN, 55044Browse MN providers · Browse ZIP 55044
- Phone
- 9522415899
- Fax
- 9522415897
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LAKEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. RACHEL J. MAJOR | DDS | 1316969454 |
| DR. GARY GEORGE JENOS | DDS | 1538177613 |
| DR. KARLTON SCOTT HEDIN | DDS | 1427061019 |
| DR. NICOLE RENEE GREEN | DDS | 1669581278 |
| DR. JENNIFER ELIZABETH HARRISON | D.D.S. | 1700998929 |
| DR. JOHN L HARRISON | DDS | 1629142070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.