Individual
GERRI L HENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
511 E TUSKEENA ST, HAYNEVILLE, AL 36040-2666
(334) 548-2516
(334) 420-0160
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 296-6670
(334) 293-6676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4623
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51077830
BCBS
AL
01
—
51517455
BCBS
AL
01
—
51517498
BCBS
AL
05
—
6309000051
—
AL
05
—
630901051
—
AL
05
—
630902051
—
AL
Enumeration date
05/08/2006
Last updated
03/26/2025
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