Brian L Henningsen DDS PC
NPI #1497206049 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1497206049
- Entity Type
- Organization
- Organization Name
- Brian L Henningsen DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 19, 2016
- Last Updated
- Oct 19, 2016
Practice Location
- Address
- 1600B SOUTHWEST BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-2434
- Phone
- (573) 635-4852
Authorized Official
- Name
- DR. BRIAN L HENNINGSEN, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (573) 635-4852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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