Individual provider · Type 1 NPI

Mark William Henderson, DMD

General Practice Dentistry · Moody Afb, GA

NPI number 1992792840 Active

About NPI 1992792840

Mark William Henderson, DMD's National Provider Identifier is 1992792840, issued on Oct 5, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moody Afb, GA. The record was last updated on Apr 25, 2018.