William David Henry in Jackson - General Practice

William David Henry - NPI 1073692836

William David Henry is a General Practice in Jackson, Mississippi. William David Henry practices all healthcare services and medical treatments related to General Practice. The NPI Number for William David Henry is 1073692836. The last update date is 2011-08-16.

William David Henry's current location address is 5935 Highway 18 W, Jackson, Mississippi. You can contact this provider via phone number 6019227028 and fax number 6019229005. The mailing address for William David Henry is 5935 Highway 18 W, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name William David Henry
Address 5935 Highway 18 W, Jackson, Mississippi
Phone Number 6019227028
Fax Number 6019229005
Sole Proprietor N
Credentials DMD, PT

NPI Number Detail

NPI Number 1073692836
Provider Enumeration Date 2006-11-03
Last Updated Date 2011-08-16

Provider Mailing Address Detail

Address 5935 Highway 18 W
City Jackson
State Mississippi (MS)
Post Code 392099625
Phone Number 6019227028
Fax Number 6019229005

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3496-09
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7416031 MS AETNA #
50976 MS BCBS
121341 MS --

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FAQs about William David Henry

What is the unique provider identifier assigned to William David Henry?

The William David Henry has been issued the NPI (National Provider Identifier) 1073692836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of William David Henry?

The William David Henry is physically situated at 5935 Highway 18 W, in the city of Jackson, state of MS, with the postal code 392099625.

What is William David Henry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The William David Henry'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 assign the 1073692836 to William David Henry?

The Centers for Medicare & Medicaid Services assigned the 1073692836 to William David Henry on 2006-11-03.

When was the information regarding William David Henry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William David Henry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-16.

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