# KARA HENDERSON, DDS, PA II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henderson Sedation and Hospital Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679158661
- **Authorized official:** KARA MICHELLE HENDERSON DDS (OWNER)
- **Authorized official phone:** (252) 492-3355

## Contact information

- **Practice address:** 451 RUIN CREEK RD STE 105, HENDERSON, NC 27536-5920
- **Practice address phone:** (252) 492-3355
- **Practice address fax:** (252) 492-9938
- **Mailing address:** 451 RUIN CREEK RD STE 105, HENDERSON, NC 27536-5920
- **Mailing address phone:** (252) 492-3355
- **Mailing address fax:** (252) 492-9938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 08/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1811081037 | — | NC |