Individual
ANDREW HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
8840 BLAKENEY PROFESSIONAL DR STE 300, CHARLOTTE, NC 28277-6749
(704) 347-3900
Mailing address
802 SHARVIEW CIR APT 1138, CHARLOTTE, NC 28217-0090
(419) 215-7136
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1858214
MA
Other
Enumeration date
05/31/2012
Last updated
04/29/2019
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