Brent Jason Henriksen in Sioux Falls - Oral And Maxillofacial Surgery
Brent Jason Henriksen - NPI 1821118480
Brent Jason Henriksen is a Oral And Maxillofacial Surgery in Sioux Falls, South Dakota. Brent Jason Henriksen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Brent Jason Henriksen is 1821118480. The last update date is 2008-07-25.
Brent Jason Henriksen's current location address is 1700 S. Southeastern Ave., Sioux Falls, South Dakota. You can contact this provider via phone number 6053315059 and fax number 6052756725. The mailing address for Brent Jason Henriksen is 1700 S. Southeastern Ave., Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Jason Henriksen |
|---|---|
| Address | 1700 S. Southeastern Ave., Sioux Falls, South Dakota |
| Phone Number | 6053315059 |
| Fax Number | 6052756725 |
| Sole Proprietor | Y |
| Credentials | M.D., D.D. |
NPI Number Detail
| NPI Number | 1821118480 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 1700 S. Southeastern Ave. |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 57103 |
| Phone Number | 6053315059 |
| Fax Number | 6052756725 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6428 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identification code assigned to Brent Jason Henriksen by the Centers for Medicare & Medicaid Services?
The Brent Jason Henriksen has been issued the NPI (National Provider Identifier) 1821118480. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brent Jason Henriksen located?
The Brent Jason Henriksen is located at 1700 S. Southeastern Ave., Sioux Falls, SD 57103.
What is the Brent Jason Henriksen's specialty and taxonomy code?
The Brent Jason Henriksen's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did Brent Jason Henriksen receive its 1821118480 assignment from the Centers for Medicare & Medicaid Services?
The Brent Jason Henriksen was assigned its 1821118480 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brent Jason Henriksen last refreshed?
The information related to the Brent Jason Henriksen, including its address, specialty, and other relevant details, was last updated on 2008-07-25.
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