Individual provider · Type 1 NPI

Robert Clark Henderson, DDS

Dentist · San Diego, CA

NPI number 1790010205 Active

Practice location

3226 Governor Dr
San Diego, CA 92122-2902

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	035502 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1790010205

Robert Clark Henderson, DDS's National Provider Identifier is 1790010205, issued on Oct 16, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on Oct 16, 2009.