Individual provider · Type 1 NPI
Latisha Deidra Henderson, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Marlton, NJ
Practice location
1000 Lincoln Dr E
Marlton, NJ 08053-1566
Mailing address
128 Alter St
Philadelphia, PA 19147-5406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 22DI02697000 (NJ) |
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…
Another provider at this address
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About NPI 1578079828
Latisha Deidra Henderson, DMD, MS's National Provider Identifier is 1578079828, issued on Dec 22, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marlton, NJ. The record was last updated on Jan 5, 2024.