Brian L Henningsen DDS PC
NPI #1215099437 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1215099437
- Entity Type
- Organization
- Organization Name
- Brian L Henningsen DDS PC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1600 SOUTHWEST BLVD # B
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-2434
- Phone
- (573) 635-4852
Authorized Official
- Name
- BRIAN L HENNINGSEN, D.D.S.
- Title
- OWNER
- Phone
- (573) 635-4852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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