Individual
MARK H HENLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(605) 721-8998
Mailing address
350 PINE ST, RAPID CITY, SD 57701-1669
(605) 721-8939
(605) 721-8998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1267
SD
1223G0001X
General Practice Dentistry
30-017513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0542952
—
OH
Enumeration date
07/18/2006
Last updated
02/04/2026
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