DR. JEFFREY MARTIN HENKIN (NPI# 1033277934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033277934 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MARTIN HENKIN |
| Credential | DDS, MS, FICD |
| Practice Address |
24860 Taylor St Loma Linda CA 92350-0001 |
| Practice Telephone | 9095584610 |
| Practice Fax Number | 9095584801 |
| Mailing Telephone | 9095584610 |
| Mailing Fax Number | 9095584801 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
56670 | CA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
19A14070 | IL | Dental Providers |
| Street Address |
24860 TAYLOR ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265692362 | Loma Linda University School of Dentistry | Clinic/Center | 24860 Taylor St, Loma Linda, CA 92354-2810 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659655090 | Elisa Sin | Dentist | 11460 Acacia St, Loma Linda, CA 92354-3503 | 2011-10-04 |
| 1316153646 | Roy Leslie Arnett Jr. | Dentist | 11092 Anderson Stree, Loma Linda, CA 92354 | 2007-05-15 |
| 1124185194 | Loma Linda Univeristy | Dentist | Loma Linda University--school of Dentistry, 11092 Anderson Street, Loma Linda, CA 92354 | 2007-01-02 |
| 1083669808 | Ahmed Khocht | Dentist | Loma Linda University School of Dentistry, 11092 Anderson St, Loma Linda, CA 92350-0001 | 2006-05-23 |
| 1679914204 | Cynthia Scheines | Dentist | 11092 Anderson St, Loma Linda, CA 92350-3001 | 2013-07-11 |
| 1346498243 | Klaus Detlef Wolfram | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2008-09-04 |
| 1811145196 | Yoon Jeong Kim | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2008-08-29 |
| 1275781551 | Albert Mark Weissman | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2008-08-29 |
| 1144436387 | Oliver Carsten Georg Hoffmann | Dentist | 11092 Anderson Stree, Loma Linda, CA 92354 | 2007-05-15 |
| 1699981969 | Max Crigger | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-05-15 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on DR. JEFFREY MARTIN HENKIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.