ROBERT L. HENDERSON, D.M.D PSC (NPI# 1073775771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073775771 |
| Entity Type | Organization |
| Organization Name | ROBERT L. HENDERSON, D.M.D PSC |
| Practice Address |
903 Main St West Liberty KY 41472-1023 |
| Practice Telephone | 6067437480 |
| Practice Fax Number | 6067437481 |
| Mailing Telephone | 6067437480 |
| Mailing Fax Number | 6067437481 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | MR. ROBERT L HENDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6067437480 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROBERT L. HENDERSON, D.M.D, PSC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
903 MAIN ST |
| City | WEST LIBERTY |
| State | KY |
| Zip Code | 41472-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124175211 | Robert Larry Henderson | Dentist | 903 Main St, West Liberty, KY 41472-1023 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811888 | Pamela Whitt | Technician | 2935 Redwine Road, West Liberty, KY 41472 | 2019-09-27 |
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1114059581 | West Liberty Elementary | Public Health or Welfare | Route 5, West Liberty, KY 41472 | 2007-03-12 |
| 1306978762 | East Valley Elementary | Public Health or Welfare | 7585 Hwy 172, West Liberty, KY 41472 | 2007-03-12 |
| 1780716159 | Gateway District Health Department | Public Health or Welfare | 493 Riverside Dr, West Liberty, KY 41472 | 2007-03-12 |
| 1013049386 | Morgan Co Middle School | Public Health or Welfare | 380 Road 6 Success, West Liberty, KY 41472 | 2007-03-12 |
| 1457483729 | Morgan Co High School | Public Health or Welfare | 150 Road To Success, West Liberty, KY 41472 | 2007-03-12 |
| 1205979887 | Morgan County Board of Education | Local Education Agency (LEA) | 460 Prestonsburg Street, West Liberty, KY 41472 | 2007-02-14 |
| 1306985734 | Lesa Keaton Mattingly | Pharmacist | 412 Liberty Road, West Liberty, KY 41472 | 2007-02-05 |
| Find all providers in zip 41472 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932376191 | Gentle Family Dentists | Clinic/Center | 1205 N Columbus St, West Liberty, IA 52776-9601 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1629696505 | Kauffmann and Sims Dentistry Pllc | Clinic/Center | 3935 Dupont Cir Ste A, Louisville, KY 40207-4824 | 2020-07-08 |
| 1841816824 | Lyon Family Dental | Clinic/Center | 252 Commerce St, Eddyville, KY 42038-8294 | 2020-06-24 |
| 1508487109 | Arrow Dental Pllc | Clinic/Center | 1107 Crown Pointe Dr Ste 210, Elizabethtown, KY 42701-7281 | 2020-05-05 |
| 1831710698 | Arrow Dental Pllc | Clinic/Center | 25 E High St Ste 2, Mt Sterling, KY 40353-1267 | 2020-05-04 |
| 1699396440 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-04 |
| 1922629773 | Arrow Dental Pllc | Clinic/Center | 1080 Ben Ali Dr Ste A, Danville, KY 40422-8937 | 2020-05-04 |
| 1730700576 | Arrow Dental Pllc | Clinic/Center | 2505 Larkin Rd Ste 201, Lexington, KY 40503-3256 | 2020-05-04 |
| 1699394783 | Professional Dental Services of Kentucky Psc | Clinic/Center | 4814 Outer Loop Ste A, Louisville, KY 40219-3302 | 2020-04-09 |
| 1316579279 | Shannon P Johnson Dmd Pllc | Clinic/Center | 9510 Ormsby Station Rd Ste 203, Louisville, KY 40223-4083 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 41472 |
Please comment or provide details below to improve the information on ROBERT L. HENDERSON, D.M.D PSC.
| 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.