# A. R. HENDRICKSEN, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033384052
- **Authorized official:** DR. ALF RONALD HENDRICKSEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (540) 587-5707

## Contact information

- **Practice address:** 8642 FOREST RD, GOODE, VA 24556-3027
- **Practice address phone:** (540) 587-5707
- **Practice address fax:** (540) 587-5727
- **Mailing address:** 4901 MOUNTAIN LAUREL DR, LYNCHBURG, VA 24503-1972
- **Mailing address phone:** (434) 384-6900
- **Mailing address fax:** (434) 384-4964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 04426 | VA | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 07/15/2008