# RICK HENSLEY DMD, PA DBA RICK HENSLEY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1548541477
- **Authorized official:** DR. RICK W HENSLEY (DMD / DIRECTOR)
- **Authorized official phone:** (336) 973-5060

## Contact information

- **Practice address:** 181 MEDICAL CENTER ROAD, WEST WILKES MEDICAL CENTER, FERGUSON, NC 28624-8925
- **Practice address phone:** (336) 973-5060
- **Practice address fax:** (336) 973-5150
- **Mailing address:** 181 MEDICAL CENTER ROAD, WEST WILKES MEDICAL CENTER, FERGUSON, NC 28624-8925
- **Mailing address phone:** (336) 973-5060
- **Mailing address fax:** (336) 973-5150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6676 | NC | Yes |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 09/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 899003Y | — | NC |