Kevin a Henner,dmd,pc

NPI #1801996202 in Deer Park, New York

Provider Information

NPI Number: 1801996202
Entity Type: Organization
Organization Name: Kevin a Henner,dmd,pc
Primary Specialty: Dentist
Enumeration Date: Sep 25, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 163 HALF HOLLOW ROAD
Address 2: SUITE ONE
City: Deer Park
State: New York
ZIP Code: 11729
Phone: (631) 667-2820

Authorized Official

Name: DR. JKEVIN ANDREW HENNER, DMD
Title: OWNER
Phone: (631) 667-2820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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