Individual provider · Type 1 NPI

Brent Jason Henriksen, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Sioux Falls, SD

NPI number 1821118480 Active

About NPI 1821118480

Brent Jason Henriksen, MD, DDS's National Provider Identifier is 1821118480, issued on Mar 29, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sioux Falls, SD. The record was last updated on Jul 25, 2008.