NPI 1215099437

Brian L Henningsen DDS PC

Organisation Dentist Jefferson City, MO

Practice location

Address: 1600 Southwest Blvd # B, Jefferson City, MO 65109-2434
Phone: (573) 635-4852

Authorised official

Name: Brian L Henningsen
Title: Owner
Phone: (573) 635-4852

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 013482 (MO)

Other Dentist providers in Missouri →

Registry record

NPI: 1215099437
Entity type: Organization
NPI issued: 14 Dec 2006
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.