Jason David Henderson in Manlius - General Practice

Jason David Henderson - NPI 1093987216

Jason David Henderson is a General Practice in Manlius, New York. Jason David Henderson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason David Henderson is 1093987216. The last update date is 2012-06-13.

Jason David Henderson's current location address is 8179 Cazenovia Rd, Manlius, New York. You can contact this provider via phone number 3156822466 and fax number 3156823179. The mailing address for Jason David Henderson is 8179 Cazenovia Rd, Manlius, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason David Henderson
Address 8179 Cazenovia Rd, Manlius, New York
Phone Number 3156822466
Fax Number 3156823179
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1093987216
Provider Enumeration Date 2008-03-27
Last Updated Date 2012-06-13

Provider Mailing Address Detail

Address 8179 Cazenovia Rd
City Manlius
State New York (NY)
Post Code 131049778
Phone Number 3156822466
Fax Number 3156823179

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 54488
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
1316096340 NY --

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FAQs about Jason David Henderson

What is the unique 10-digit identifier code assigned to Jason David Henderson by the Centers for Medicare & Medicaid Services?

The Jason David Henderson has been issued the NPI (National Provider Identifier) 1093987216 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Jason David Henderson?

The Jason David Henderson is situated at 8179 Cazenovia Rd, in the city of Manlius, state of NY, with the zip code 131049778.

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

The specialized area of practice for Jason David Henderson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did Jason David Henderson receive its 1093987216 assignment?

The Jason David Henderson was assigned its 1093987216 on 2008-03-27, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jason David Henderson most recently updated or revised?

The information pertaining to Jason David Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-13.

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