DR. Kevin Andrew Henner, DMD

NPI #1174623573 in Deer Park, New York

Provider Information

NPI Number: 1174623573
Entity Type: Individual
Name: DR. Kevin Andrew Henner, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 163 HALF HOLLOW RD.
Address 2: SUITE ONE
City: Deer Park
State: New York
ZIP Code: 11729
Phone: (631) 667-2820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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