# DR STEPHEN R. HENRY, DDS PC

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

## Provider details

- **NPI number:** 1134491103
- **Authorized official:** DR. STEPHEN R HENRY DDS (DENTIST)
- **Authorized official phone:** (586) 781-6700

## Contact information

- **Practice address:** 57911 VAN DYKE RD, SUITE B, WASHINGTON TWP, MI 48094-2763
- **Practice address phone:** (586) 781-6700
- **Practice address fax:** (586) 781-6819
- **Mailing address:** PO BOX 660, WASHINGTON TWP, MI 48094-0660
- **Mailing address phone:** (586) 781-6700
- **Mailing address fax:** (586) 781-6819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16538 | MI | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012