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

MYRON HENRICKSON, DDS PA

Active Organization

MYRON HENRICKSON, DDS PA is a Dentist organization located in MAPLEWOOD, Minnesota. NPI 1740444827 is currently active in the NPPES registry. Verify at CMS.

Dentist · MAPLEWOOD, MN

Registration Details

NPI Number
1740444827
Provider Type
Organization
NPI Issued
Jul 17, 2008 (18.074865470528 yrs)
Last Updated
Jul 17, 2008
License
D9492 (MN)

Practice Information

Address
1560 BEAM AVE
SUITE 2
MAPLEWOOD, MN, 551091191
Browse MN providers · Browse ZIP 55109
Phone
6517778900
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.