Jason Dean Henderson in Cupertino - General Practice

Jason Dean Henderson - NPI 1659540557

Jason Dean Henderson is a General Practice in Cupertino, California. Jason Dean Henderson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Dean Henderson is 1659540557. The last update date is 2019-02-05.

Jason Dean Henderson's current location address is 10868 Sycamore Ct, Cupertino, California. You can contact this provider via phone number 6509674811 and fax number 6509674811. The mailing address for Jason Dean Henderson is 10868 Sycamore Ct, Cupertino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Dean Henderson
Address 10868 Sycamore Ct, Cupertino, California
Phone Number 6509674811
Fax Number 6509674811
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1659540557
Provider Enumeration Date 2008-02-25
Last Updated Date 2019-02-05

Provider Mailing Address Detail

Address 10868 Sycamore Ct
City Cupertino
State California (CA)
Post Code 950146558
Phone Number 6509674811
Fax Number 6509674811

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 50267
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jason Dean Henderson

What is the unique identifier code issued to Jason Dean Henderson by the Centers for Medicare & Medicaid Services (CMS)?

The Jason Dean Henderson has been assigned the NPI (National Provider Identifier) 1659540557. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jason Dean Henderson is located?

The Jason Dean Henderson is situated at the following address: 10868 Sycamore Ct, Cupertino, CA, 950146558.

What is Jason Dean Henderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jason Dean Henderson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659540557 to Jason Dean Henderson?

The Centers for Medicare & Medicaid Services originally issued the 1659540557 to Jason Dean Henderson on 2008-02-25.

When was the information pertaining to Jason Dean Henderson most recently updated or revised?

The details related to Jason Dean Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-05.

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