NPI 1093821647

Stephanie Reeder Henley, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Jacksonville, FL

Practice location

Address: 4100 Southpoint Dr E STE 5, Jacksonville, FL 32216-8710
Phone: (904) 565-1505
Fax: (904) 565-1506

Registered specialties (5)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN 16425 (FL)

Other Oral & Maxillofacial Surgery providers in Florida →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DN 16425 (FL)

Other Dentist providers in Florida →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DN16425 (FL)

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence ME113042 (FL)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence ME113042 (FL)

Other Surgery providers in Florida →

Registry record

NPI: 1093821647
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2006
Record last updated: 19 Oct 2022

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.