Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON DAVID HENDERSON, DDS
Active Sole ProprietorJASON DAVID HENDERSON, DDS is a General Dentistry healthcare provider located in MANLIUS, New York. NPI 1093987216 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MANLIUS, NY
Registration Details
- NPI Number
- 1093987216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2008 (18.2393453754 yrs)
- Last Updated
- Jun 13, 2012
- License
-
054488 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8179 CAZENOVIA RD.MANLIUS, NY, 13104Browse NY providers · Browse ZIP 13104
- Phone
- 3156822466
- Fax
- 3156823179
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MANLIUS, NY
| Name | Credential | NPI |
|---|---|---|
| DR. BRANDON ROBERT MAGILL | D.M.D | 1598745176 |
| DR. KEVIN P HICKEY | DDS | 1194732834 |
| GARY L REVERCOMB | DMD | 1649371501 |
| JACOB L REVERCOMB | DDS | 1700987674 |
| DR. MARK ISIDORE BOULE | D.D.S. | 1073608212 |
| GREGORY W MOHR | DDS | 1720173610 |
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.