Individual
DR. CARSON HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3814 MACCORKLE AVE SE, CHARLESTON, WV 25304-1528
(304) 925-0322
Mailing address
1203 JEFFERSON RD, SOUTH CHARLESTON, WV 25309-9732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4236
WV
Other
Enumeration date
07/23/2016
Last updated
09/17/2020
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