DR. Brian Leroy Henningsen, DDS
NPI #1033158993 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1033158993
- Entity Type
- Individual
- Name
- DR. Brian Leroy Henningsen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1600 B SOUTHWEST BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 635-4852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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