Individual
PHILIP E HENDERLIGHT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1507 S MAIN ST, CORBIN, KY 40701-1932
(606) 523-1110
Mailing address
1507 S MAIN ST, CORBIN, KY 40701-1932
(606) 523-1110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KY5414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60054145
—
KY
Enumeration date
03/06/2007
Last updated
07/08/2007
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