Individual provider · Type 1 NPI

Brian Leroy Henningsen, DDS

General Practice Dentistry · Jefferson City, MO

NPI number 1033158993 Active

About NPI 1033158993

Brian Leroy Henningsen, DDS's National Provider Identifier is 1033158993, issued on Jun 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 8, 2007.