Individual provider · Type 1 NPI

Lori Henderson, DDS

Pediatric Dentistry · Columbia, MO

NPI number 1770513293 Active

Practice location

1506 Chapel Hill Rd Ste B
Columbia, MO 65203-5504

Mailing address

1506 Chapel Hill Rd, Ste B
Columbia, MO 65203-5468

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X015006 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1770513293

Lori Henderson, DDS's National Provider Identifier is 1770513293, issued on Jul 3, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Columbia, MO. The record was last updated on Apr 19, 2018.