Jeffrey L Henken is a Dentist in Emmett, Idaho. Jeffrey L Henken practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey L Henken is 1679683775. The last update date is 2007-07-08.
Jeffrey L Henken's current location address is 1020 E Locust, Emmett, Idaho. You can contact this provider via phone number 2083655064 and fax number 2083654235. The mailing address for Jeffrey L Henken is 1020 E Locust, Emmett, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey L Henken |
|---|---|
| Address | 1020 E Locust, Emmett, Idaho |
| Phone Number | 2083655064 |
| Fax Number | 2083654235 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679683775 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1020 E Locust |
|---|---|
| City | Emmett |
| State | Idaho (ID) |
| Post Code | 83617 |
| Phone Number | 2083655064 |
| Fax Number | 2083654235 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D1830 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10012438 | ID | BLUE SHIELD | |
| 68726 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeffrey L Henken by the Centers for Medicare & Medicaid Services?
The Jeffrey L Henken has been assigned the NPI (National Provider Identifier) 1679683775 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jeffrey L Henken?
The Jeffrey L Henken is situated at 1020 E Locust, in the city of Emmett, state of ID, with the zip code 83617.
What is the Jeffrey L Henken's specialty and taxonomy code?
The Jeffrey L Henken's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Jeffrey L Henken receive the assignment of its 1679683775 from the Centers for Medicare & Medicaid Services?
The Jeffrey L Henken was issued its 1679683775 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Jeffrey L Henken, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey L Henken, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.