Individual
DR. CHARLES HAMMAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
635 ALBANY ST STE 446, BOSTON, MA 02118-3550
(617) 638-4350
(617) 358-5761
Mailing address
635 ALBANY ST FL 4, BOSTON, MA 02118-3550
(617) 638-4350
(617) 358-5761
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15514
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN15514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005801
—
NH
Enumeration date
09/28/2006
Last updated
11/26/2024
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