Individual provider · Type 1 NPI

Marlon Henderson

Orthodontics and Dentofacial Orthopedics Dentistry · Dallas, TX

NPI number 1073672952 Active

Practice location

3306 W Camp Wisdom Rd, Suite 100
Dallas, TX 75237-2596

Call (972) 572-0100 Map

Mailing address

650 International Pkwy, Suite 100
Richardson, TX 75081-6612

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	19577 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1073672952

Marlon Henderson's National Provider Identifier is 1073672952, issued on Dec 7, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.