Organization
MICHAEL E HENDERSON D.M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E. HENDERSON D.M.D. (PRESIDENT)
(864) 461-3113
Entity
Organization
Contact information
Practice address
128 W CHEROKEE ST, CHESNEE, SC 29323-1226
(864) 461-3113
Mailing address
128 W CHEROKEE ST, CHESNEE, SC 29323-1226
(864) 461-3113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2869
SC
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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