Individual provider · Type 1 NPI

Henderson Andrew Johnson Iv, D.D.S

General Practice Dentistry · Cleveland, OH

NPI number 1104994052 Active

Practice location

2475 E 22nd St, Suite 204
Cleveland, OH 44115-3221

Call (216) 566-7770 Map

Fax (216) 566-7704

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X17934 (OH)

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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About NPI 1104994052

Henderson Andrew Johnson Iv, D.D.S's National Provider Identifier is 1104994052, issued on Nov 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cleveland, OH. The record was last updated on Jul 8, 2007.