NPI 1093937518

Nelson Henry, DDS, LLC

Organisation Dentist Jefferson City, MO

Practice location

Address: 3306 Emerald Ln, Jefferson City, MO 65109-6877
Phone: (573) 634-2222
Fax: (573) 634-8812

Authorised official

Name: Nelson Henry
Title: DDS
Phone: (573) 634-2222

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 016072 (MO)

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Registry record

NPI: 1093937518
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.