NPI 1629420294

Cleon Henderson

Practitioner Dental Assistant Fort George G. Meade, MD

Practice location

Address: 8476 Simonds Street STE 5700, Fort George G. Meade, MD 20755
Phone: (301) 677-6122
Fax: (301) 677-5710

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Maryland →

Registry record

NPI: 1629420294
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2016
Record last updated: 7 Jul 2016

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.