Paul J Henningson Dds Pa in Brainerd - Dentist
Paul J Henningson Dds Pa - NPI 1285602664
Paul J Henningson Dds Pa is a Dentist in Brainerd, Minnesota. Paul J Henningson Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul J Henningson Dds Pa is 1285602664. The last update date is 2020-08-22.
Paul J Henningson Dds Pa's current location address is 501 Maple Street, Brainerd, Minnesota. You can contact this provider via phone number 2188299403. The mailing address for Paul J Henningson Dds Pa is 501 Maple Street, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paul J Henningson Dds Pa |
|---|---|
| Address | 501 Maple Street, Brainerd, Minnesota |
| Phone Number | 2188299403 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Henningson John Paul |
| Credentials | DDS |
| Telephone Number | 2188299403 |
NPI Number Detail
| NPI Number | 1285602664 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 501 Maple Street |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564013527 |
| Phone Number | 2188299403 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D11047 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul J Henningson Dds Pa by the Centers for Medicare & Medicaid Services?
The Paul J Henningson Dds Pa has been issued the NPI (National Provider Identifier) 1285602664 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Paul J Henningson Dds Pa is located?
The Paul J Henningson Dds Pa is situated at the following address: 501 Maple Street, Brainerd, MN, 564013527.
What is the Paul J Henningson Dds Pa's specialty and taxonomy code?
The Paul J Henningson Dds Pa's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285602664 to Paul J Henningson Dds Pa?
The Centers for Medicare & Medicaid Services originally issued the 1285602664 to Paul J Henningson Dds Pa on 2006-03-10.
When was the information related to Paul J Henningson Dds Pa most recently updated or refreshed?
The details pertaining to the Paul J Henningson Dds Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.