Individual provider · Type 1 NPI

Brett A. Henrikson, DDS

Oral and Maxillofacial Surgery (Dentist) · Lafayette, IN

NPI number 1063629988 Active

Practice location

2 Executive Dr Ste A
Lafayette, IN 47905-4859

Fax (765) 807-0234

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12010155A (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1063629988

Brett A. Henrikson, DDS's National Provider Identifier is 1063629988, issued on May 17, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lafayette, IN. The record was last updated on Feb 24, 2011.