Individual
DR. JAMES STRONG HENDERSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6654 U S HIGHWAY 98, HATTIESBURG, MS 39402-7936
(601) 264-5756
Mailing address
6654 U S HIGHWAY 98, HATTIESBURG, MS 39402-7936
(601) 264-5756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
335305
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3353-05
LICENSE #
MS
01
—
900714760
PLLC TID
MS
Enumeration date
05/16/2007
Last updated
06/24/2011
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