Individual provider · Type 1 NPI

David J. Henderson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Bloomington, IN

NPI number 1992820773 Active

Practice location

857 S Auto Mall Rd
Bloomington, IN 47401-5447

Fax (812) 333-8933

Mailing address

4611 Eagleview Dr
Bloomington, IN 47403-9043

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12007864A (IN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1992820773

David J. Henderson, DDS's National Provider Identifier is 1992820773, issued on Mar 20, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bloomington, IN. The record was last updated on Jul 8, 2007.