Jonathan Shane Hensley in Pikeville - Dentist

Jonathan Shane Hensley - NPI 1629168349

Jonathan Shane Hensley is a Dentist in Pikeville, Kentucky. Jonathan Shane Hensley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jonathan Shane Hensley is 1629168349. The last update date is 2012-04-04.

Jonathan Shane Hensley's current location address is 126 Trivette Dr Ste 103, Pikeville, Kentucky. You can contact this provider via phone number 6064331488 and fax number 6064331487. The mailing address for Jonathan Shane Hensley is 126 Trivette Dr Ste 103, Pikeville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Shane Hensley
Address 126 Trivette Dr Ste 103, Pikeville, Kentucky
Phone Number 6064331488
Fax Number 6064331487
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1629168349
Provider Enumeration Date 2006-10-13
Last Updated Date 2012-04-04

Provider Mailing Address Detail

Address 126 Trivette Dr Ste 103
City Pikeville
State Kentucky (KY)
Post Code 415011275
Phone Number 6064331488
Fax Number 6064331487

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7602
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
60000353 KY --

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FAQs about Jonathan Shane Hensley

What is the unique 10-digit identification code assigned to Jonathan Shane Hensley by the Centers for Medicare & Medicaid Services?

The Jonathan Shane Hensley has been issued the NPI (National Provider Identifier) 1629168349, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jonathan Shane Hensley is geographically located?

The Jonathan Shane Hensley is physically situated at the following location: 126 Trivette Dr Ste 103, Pikeville, KY, 415011275.

What is Jonathan Shane Hensley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jonathan Shane Hensley's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Jonathan Shane Hensley receive its 1629168349 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Shane Hensley was assigned its 1629168349 by the Centers for Medicare & Medicaid Services on 2006-10-13.

When was the information regarding Jonathan Shane Hensley most recently updated?

The details pertaining to the Jonathan Shane Hensley, including its address, specialty, and other relevant information, were last refreshed on 2012-04-04.

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