Jessica Ann Henderson, DMD

NPI #1699174771 in Bend, Oregon

Provider Information

NPI Number: 1699174771
Entity Type: Individual
Name: Jessica Ann Henderson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 14, 2014
Last Updated: Jul 21, 2022

Practice Location

Address: 1016 NW NEWPORT AVE
City: Bend
State: Oregon
ZIP Code: 97703
Phone: (541) 389-1107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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