Robert Paul Hendricksen, DDS MS

NPI #1689783334 in Centerville, Ohio

Provider Information

NPI Number: 1689783334
Entity Type: Individual
Name: Robert Paul Hendricksen, DDS MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS MS
Enumeration Date: Aug 29, 2006
Last Updated: Feb 14, 2011

Practice Location

Address: 7265 FAR HILLS AVE
City: Centerville
State: Ohio
ZIP Code: 45459-4206
Phone: (937) 435-4924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Professional Dental Alliance of Centerville, LLC	Dentist - Oral and Maxillofacial Surgery	Centerville	AI Deep Dive
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