Organization · Type 2 NPI
Jacob Francis Henderson DDS LLC
Dental Clinic/Center · Baton Rouge, LA
NPI number
1144617150
Active
Practice location
11424 Sullivan Rd Bldg B, Ste A
Baton Rouge, LA 70818-3615
Fax (225) 262-9061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5406 (LA) |
Dental Clinic/Center: Definition to come...
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About NPI 1144617150
Jacob Francis Henderson DDS LLC's National Provider Identifier is 1144617150, issued on Apr 17, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 20, 2015.