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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERY Y HENDERSON, DMD

Active

JEFFERY Y HENDERSON, DMD is a Dentist healthcare provider located in JOINT BASE ELMENDORF-RICHARDSON, Alaska. NPI 1598072654 is currently active in the NPPES registry. Verify at CMS.

Dentist · JOINT BASE ELMENDORF-RICHARDSON, AK

Registration Details

NPI Number
1598072654
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2010 (15.916247673659 yrs)
Last Updated
Jul 21, 2021
License
DE60169130 (WA)

Practice Information

Address
5955 ZEAMER AVENUE
673RD MDG
JOINT BASE ELMENDORF-RICHARDSON, AK, 99506
Browse AK providers · Browse ZIP 99506
Phone
9075805020
Primary Specialty
Dentist
122300000X
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.