Katerina Asadovna Henderson in Brockton - Dentist
Katerina Asadovna Henderson - NPI 1265565121
Katerina Asadovna Henderson is a Dentist in Brockton, Massachusetts. Katerina Asadovna Henderson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Katerina Asadovna Henderson is 1265565121. The last update date is 2012-07-03.
Katerina Asadovna Henderson's current location address is 63 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085842708 and fax number 5085591158. The mailing address for Katerina Asadovna Henderson is 63 Main St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katerina Asadovna Henderson |
|---|---|
| Address | 63 Main St, Brockton, Massachusetts |
| Phone Number | 5085842708 |
| Fax Number | 5085591158 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265565121 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2012-07-03 |
Provider Mailing Address Detail
| Address | 63 Main St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014042 |
| Phone Number | 5085842708 |
| Fax Number | 5085591158 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9351 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Katerina Asadovna Henderson by the Centers for Medicare & Medicaid Services?
The Katerina Asadovna Henderson has been assigned the NPI (National Provider Identifier) 1265565121 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Katerina Asadovna Henderson's physical address?
The Katerina Asadovna Henderson is physically located at 63 Main St, in the city of Brockton, MA, with the postal code 23014042.
What is Katerina Asadovna Henderson's area of expertise and its corresponding taxonomy classification?
The Katerina Asadovna Henderson's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the Katerina Asadovna Henderson receive its 1265565121?
The Katerina Asadovna Henderson was issued its 1265565121 on 2007-03-13, which is the date when the organization was assigned this unique identifier.
When was the Katerina Asadovna Henderson's information last updated?
The Katerina Asadovna Henderson's information was last updated on 2012-07-03.