NPI 1215927181

Mitchell Jay Henry, MDDDS

Practitioner Specialist Lincoln, NE

Practice location

Address: 2222 S 16th St Suite 300, Lincoln, NE 68502
Phone: (402) 435-0044
Fax: (402) 435-7010
Mailing address: 2222 S 16th St STE 300, Lincoln, NE 68502

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 18887 (NE)

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Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 5504 (NE)

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Registry record

NPI: 1215927181
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2005
Record last updated: 11 Sep 2023

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.