Individual
DR. BERNARD THOMAS HENEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 N GAINES DR, CLINTON, MO 64735-1132
(660) 885-6991
(660) 885-3554
Mailing address
2000-2 N GAINES DR, CLINTON, MO 64735-1132
(660) 885-6991
(660) 885-3554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11950
MO
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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