Mark Reagan Henderson in Tinker Afb - General Practice
Mark Reagan Henderson - NPI 1376562082
Mark Reagan Henderson is a General Practice in Tinker Afb, Oklahoma. Mark Reagan Henderson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Reagan Henderson is 1376562082. The last update date is 2009-09-02.
Mark Reagan Henderson's current location address is 5700 Arnold St, Tinker Afb, Oklahoma. You can contact this provider via phone number 4057362113. The mailing address for Mark Reagan Henderson is 5700 Arnold St, Tinker Afb, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Reagan Henderson |
|---|---|
| Address | 5700 Arnold St, Tinker Afb, Oklahoma |
| Phone Number | 4057362113 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1376562082 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2009-09-02 |
Provider Mailing Address Detail
| Address | 5700 Arnold St |
|---|---|
| City | Tinker Afb |
| State | Oklahoma (OK) |
| Post Code | 731458105 |
| Phone Number | 4057362113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13986 |
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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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Post Comment/ Review Below
What is the Mark Reagan Henderson's unique identification number?
The Mark Reagan Henderson has been assigned the NPI (National Provider Identifier) Number 1376562082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mark Reagan Henderson?
The Mark Reagan Henderson is situated at 5700 Arnold St, in the city of Tinker Afb, state of OK, with the zip code 731458105.
What is the Mark Reagan Henderson's specialty and taxonomy code?
The Mark Reagan Henderson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376562082 to Mark Reagan Henderson?
The Centers for Medicare & Medicaid Services originally issued the 1376562082 to Mark Reagan Henderson on 2006-07-19.
When was the information related to Mark Reagan Henderson most recently updated or refreshed?
The details pertaining to the Mark Reagan Henderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-02.