Individual
JENNIFER HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 S VIENNA ST, RUSTON, LA 71270-5830
(318) 251-0334
(318) 255-3538
Mailing address
PO BOX 70, HODGE, LA 71247-0070
(318) 251-0334
(318) 255-3538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4884
LA
Other
Enumeration date
04/18/2007
Last updated
11/11/2025
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