Individual
DR. JOHN L HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
451 NORTH PARK DR #A, RIDGELAND, MS 39157
(601) 957-7030
(601) 957-7732
Mailing address
451 NORTH PARK DR #A, RIDGELAND, MS 39157
(601) 957-7030
(601) 957-7732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2343-87
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640764063
E-CLAIMS NUMBER
MS
Enumeration date
01/23/2007
Last updated
07/15/2024
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