Individual provider · Type 1 NPI

Theodore B. Hennig, DDS MS

Oral and Maxillofacial Surgery (Dentist) · Saginaw, MI

NPI number 1417023144 Active

Practice location

4350 Fashion Square Boulevard
Saginaw, MI 48603-1249

Fax (989) 799-3895

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901014716 (MI)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X2901014716 (MI)

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 1417023144

Theodore B. Hennig, DDS MS's National Provider Identifier is 1417023144, issued on Nov 27, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Saginaw, MI. The record was last updated on Sep 11, 2025.