Organization
KEVIN A HENNER,DMD,PC
Active
Other names
Henner Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JKEVIN ANDREW HENNER DMD (OWNER)
(631) 667-2820
Entity
Organization
Contact information
Practice address
163 HALF HOLLOW ROAD, SUITE ONE, DEER PARK, NY 11729
(631) 667-2820
(631) 667-3133
Mailing address
163 HALF HOLLOW ROAD, SUITE ONE, DEER PARK, NY 11729
(631) 667-2820
(631) 667-3133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/21/2022
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