John L Henson DMD

NPI 1003960220 - Dentist - 1223G0001X

NPI Details
NPI 1003960220
Gender Male
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1583 E COUNTY LINE RD STE C
JACKSON MS, 39211-1835, US
Phone (601) 957-7030
Fax (601) 957-7732
Business Location
1583 E COUNTY LINE RD STE C
JACKSON MS, 39211-1835, US
Phone (601) 957-7030
Fax (601) 957-7732
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 2343-87
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According to our database, Dr. John L Henson DMD NPI is 1003960220, taxonomy code is 1223G0001X and license number is 2343-87, license state is located at Mississippi. John L Henson DMD physically located at 1583 E County Line Rd Ste C, Jackson MS, 39211-1835. NPI Number John L Henson DMD has the Individual type.

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1003960220 NPI number is provided on an as is basis without warranty of any kind. 1003960220 is maintained by the National Plan & Provider Enumeration System. The contents of John L Henson DMD are for informational purposes only.