NPI 1104328111

Jenny Marie Hendrickson, RDHDT

Practitioner Dental Therapist Perham, MN

Practice location

Address: 918 Market St, Perham, MN 56573-2118
Phone: (218) 346-7186
Fax: (218) 346-7182

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DT99 (MN)

Other Dental Therapist providers in Minnesota →

Registry record

NPI: 1104328111
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2018
Record last updated: 6 Mar 2018

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.