Jessica A. Henderson PC

NPI #1720511173 in Bend, Oregon

Provider Information

NPI Number: 1720511173
Entity Type: Organization
Organization Name: Jessica A. Henderson PC
Primary Specialty: Dentist
Enumeration Date: Apr 4, 2017
Last Updated: Apr 4, 2017

Practice Location

Address: 1016 NW NEWPORT AVE
City: Bend
State: Oregon
ZIP Code: 97703-1618
Phone: (541) 389-1107

Authorized Official

Name: DR. JESSICA ANN HENDERSON, D.M.D.
Title: DENTIST/OWNER
Phone: (407) 247-1497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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