L. M. HENDERSON D.M.D.,P.A. (NPI# 1467639872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467639872 |
| Entity Type | Organization |
| Organization Name | L. M. HENDERSON D.M.D.,P.A. |
| Practice Address |
3006 E Kiehl Ave Sherwood AR 72120-3228 |
| Practice Telephone | 5018350444 |
| Practice Fax Number | 5018358730 |
| Mailing Telephone | 5018350444 |
| Mailing Fax Number | 5018358730 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | LARRY M HENDERSON (DENTIST) |
| Authorized Official Telephone | 5018350444 |
| Authorized Official Credential | D.M.D.,P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2209 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5C125 | 01 |
| Street Address |
3006 E KIEHL AVE |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346600483 | Randall L. Campbell Dds Pa | Dentist | 3006 E Kiehl Ave, Sherwood, AR 72120-3228 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740429026 | Adam Paul Tyberg | Dentist | 21000 Sw Dahlke Ln, Sherwood, OR 97140-8386 | 2009-02-11 |
| 1235356205 | Megan Coker | Dentist | 20673 Sw Roy Rogers Rd Ste 201, Sherwood, OR 97140-9222 | 2007-04-19 |
| 1467595363 | Joel N Fast | Dentist | 20673 Sw Roy Rogers Rd, Ste. 201, Sherwood, OR 97140-9222 | 2007-02-14 |
| 1376697813 | W David Hill Dds Pa | Dentist | 7517 Warden Road, Sherwood, AR 72120 | 2007-01-22 |
| 1598812695 | Richard L Jones Jr. | Dentist | 16043 Sw Railroad Street, Sherwood, OR 97140 | 2007-01-04 |
| 1184787152 | Oliver L. Rusher | Dentist | 21887 Sw Sherwood Blvd, Suite A, Sherwood, OR 97140-9459 | 2006-12-19 |
| 1508940404 | Brian K Skinner | Dentist | 312 E. Kiehl Ave, Sherwood, AR 72120 | 2006-10-25 |
| 1326137654 | Michael K Alley | Dentist | 2800 E Kiehl Ave, Sherwood, AR 72120-3244 | 2006-10-12 |
| 1861584781 | Gary G. Keener | Dentist | 9509 Highway 107, Sherwood, AR 72120-2634 | 2006-09-28 |
| 1992715205 | Laurence J Howe | Dentist | 1118 E Kiehl Ave, Sherwood, AR 72120 | 2006-08-09 |
| Find all providers in SHERWOOD | ||||
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| 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.