Individual provider · Type 1 NPI
Robert Paul Hendricksen, DDS MS
Oral and Maxillofacial Surgery (Dentist) · Centerville, OH
NPI number
1689783334
Active
Practice location
7265 Far Hills Ave
Centerville, OH 45459-4206
Fax (937) 435-6447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 30015680 (OH) |
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.
About NPI 1689783334
Robert Paul Hendricksen, DDS MS's National Provider Identifier is 1689783334, issued on Aug 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Centerville, OH. The record was last updated on Feb 14, 2011.