Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK WILLIAM HENDERSON, DMD
ActiveDR. MARK WILLIAM HENDERSON, DMD is a General Dentistry healthcare provider located in MOODY AFB, Georgia. NPI 1992792840 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOODY AFB, GA
Registration Details
- NPI Number
- 1992792840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2005 (20.679167059941 yrs)
- Last Updated
- Apr 25, 2018
- License
-
5078 (AL)
Practice Information
- Address
-
23D MEDICAL GROUP 3278 MITCHELL BLVDMOODY AFB, GA, 316991500Browse GA providers · Browse ZIP 31699
- Phone
- 2292571459
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MOODY AFB, GA
| Name | Credential | NPI |
|---|---|---|
| KONSTANTINE DIETRICH | DDS | 1023479888 |
| DR. JORDAN ROBBINS | DMD | 1083147367 |
| LAURA ANDREA LONDONO | DMD | 1487281937 |
| JACOB AARON FREEZE | DMD | 1053949198 |
| SHUJIE YAN | D.M.D | 1093300477 |
| EMARY CLIMACOSA | — | 1548925712 |
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.