Individual provider · Type 1 NPI
Michael Scott Henriksen, DDS
Oral and Maxillofacial Surgery (Dentist) · Fresno, CA
Practice location
1313 E Herndon Ave Ste 104
Fresno, CA 93720-3306
Mailing address
11234 Anderson St
Loma Linda, CA 92354-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 105633 (CA) |
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.
3 other providers at this address
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About NPI 1689297962
Michael Scott Henriksen, DDS's National Provider Identifier is 1689297962, issued on May 21, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fresno, CA. The record was last updated on Jul 18, 2024.