Jonathan Shane Hensley, DMD

NPI #1629168349 in Pikeville, Kentucky

Provider Information

NPI Number: 1629168349
Entity Type: Individual
Name: Jonathan Shane Hensley, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 13, 2006
Last Updated: Apr 4, 2012

Practice Location

Address: 126 TRIVETTE DR STE 103
City: Pikeville
State: Kentucky
ZIP Code: 41501-1275
Phone: (606) 433-1488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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