DR. Jessica L Henner
NPI #1699064683 in East Islip, New York
Provider Information
- NPI Number
- 1699064683
- Entity Type
- Individual
- Name
- DR. Jessica L Henner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 31, 2011
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 228 E MAIN ST
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-2711
- Phone
- (631) 581-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Student in an Organized Health Care Education/Training Program |
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