Individual provider · Type 1 NPI

Robert W. Henderson, DMD

Oral and Maxillofacial Surgery (Dentist) · Georgetown, KY

NPI number 1811915622 Active

Practice location

101 Darby Dr Ste 101
Georgetown, KY 40324-8715

Mailing address

101 Darby Dr # 101
Georgetown, KY 40324-8715

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X7379 (KY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X7379 (KY)

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.

Another provider at this address

About NPI 1811915622

Robert W. Henderson, DMD's National Provider Identifier is 1811915622, issued on Jul 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Georgetown, KY. The record was last updated on Jul 16, 2026.