Individual
DR. DANIEL PEARSON HENRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
190 GOOD DR., LANCASTER, PA 17603
(717) 394-3033
(717) 390-2641
Mailing address
190 GOOD DR., LANCASTER, PA 17603
(717) 394-3033
(717) 390-2641
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS031646L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS031646L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014911850001
—
PA
01
—
32271
BLUE SHIELD ID NUMBER
PA
01
—
DS031646L
DENTAL LICENSE NUMBER
PA
Enumeration date
01/30/2006
Last updated
09/11/2025
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