Whalio Doctors

NPI 1295799963

James Martin Henderson, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Charleston, WV

Practice location

Address
415 Morris St Suite 309, Charleston, WV 25301-1842
Phone
(304) 388-3290
Fax
(304) 388-3186
Mailing address
415 Morris St Suite 304, Charleston, WV 25301-1842

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 20470 (WV)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 20470 (WV)

Registry record

NPI
1295799963
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2006
Record last updated
9 Jun 2011

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.