Individual provider · Type 1 NPI
Jason David Henderson, DDS
General Practice Dentistry · Manlius, NY
NPI number
1093987216
Active
Practice location
8179 Cazenovia Rd.
Manlius, NY 13104
Fax (315) 682-3179
Mailing address
8179 Cazenovia Rd
Manlius, NY 13104-9778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 054488 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Brandon Robert Magill, D.M.DGeneral Practice Dentistry Manlius, NY NPI 1598745176
- Heath Christian Winkler, D.D.SGeneral Practice Dentistry Manlius, NY NPI 1619147659
- Gary L. Revercomb, DMDGeneral Practice Dentistry Manlius, NY NPI 1649371501
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About NPI 1093987216
Jason David Henderson, DDS's National Provider Identifier is 1093987216, issued on Mar 27, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manlius, NY. The record was last updated on Jun 13, 2012.