Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LATISHA DEIDRA HENDERSON, DMD, MS
ActiveDR. LATISHA DEIDRA HENDERSON, DMD, MS is a Orthodontics healthcare provider located in MARLTON, New Jersey. NPI 1578079828 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MARLTON, NJ
Registration Details
- NPI Number
- 1578079828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2017 (8.6022729573612 yrs)
- Last Updated
- Jan 5, 2024
- License
-
22DI02697000 (NJ)
Practice Information
- Address
-
1000 LINCOLN DR EMARLTON, NJ, 080531566Browse NJ providers · Browse ZIP 08053
- Phone
- 8774226257
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MARLTON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. ALBERT S CHINAPPI JR. | DDS | 1679685382 |
| ERIN R KAZMIERSKI-FURNO | D.M.D. | 1124118336 |
| MARK R KAZMIERSKI | D.M.D. | 1891870283 |
| DR. CARLYN S PHUCAS | DDS | 1891849394 |
| DR. JESSICA ROCHELLE BOWEN | D.M.D., M.D.S. | 1013170018 |
| DR. TARAK SHAH | D.D.S. | 1316179799 |
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.