Individual
DR. STEPHANIE REEDER HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, D.M.D.
Contact information
Practice address
4100 SOUTHPOINT DR E STE 5, JACKSONVILLE, FL 32216-8710
(904) 565-1505
(904) 565-1506
Mailing address
4100 SOUTHPOINT DR E STE 5, JACKSONVILLE, FL 32216-8710
(904) 281-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN 16425
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN16425
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN 16425
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME113042
FL
208600000X
Surgery Physician
ME113042
FL
Other
Enumeration date
08/23/2006
Last updated
10/19/2022
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