BRENT JASON HENRIKSEN


Address: 1700 S. Southeastern Ave., River Ridge Oral and Maxillofacial Surgical Center, Sioux Falls, SD 57103
Phone: 6053315059

BRENT JASON HENRIKSEN (NPI# 1821118480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821118480
Entity Type Individual
Full Name BRENT JASON HENRIKSEN
Credential M.D., D.D.S.
Practice Address 1700 S. Southeastern Ave.
River Ridge Oral and Maxillofacial Surgical Center
Sioux Falls
SD 57103
Practice Telephone 6053315059
Practice Fax Number 6052756725
Mailing Telephone 6053315059
Mailing Fax Number 6052756725
Enumeration Date 2007-03-29
Last Update Date 2008-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D0814 SD Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
6428 NE Dental Providers

Office Location

Street Address 1700 S. SOUTHEASTERN AVE.
RIVER RIDGE ORAL AND MAXILLOFACIAL SURGICAL CENTER
City SIOUX FALLS
State SD
Zip Code 57103

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1972072858 Tasha Leigh Vanrooyen Massage Therapist 3400 Southeastern Avenue, Sioux Falls, SD 57103 2018-11-20
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1811378771 African Community Center of Sioux Falls Non-emergency Medical Transport (VAN) 1515 East 10th Street, Sioux Falls, SD 57103 2015-06-16
1033596861 Raichatou Ann Jackson Clinical Nurse Specialist 4308 Est 9th St, Sioux Falls, SD 57103 2015-04-30
1538551668 Wendy Jo Kranzler Occupational Therapist 4500 Prince of Peace, Sioux Falls, SD 57103 2015-02-26
1932477205 Alpha Sigma Health Group, Inc. Home Health 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 2011-12-01
1629207089 Andrea R Tuley Registered Nurse 1312 E. 11th Street, Sioux Falls, SD 57103 2009-07-07
1891920054 Great Plains Chiropractic & Wellness LLC Chiropractor 3233 S. Sycamore Ave., Sioux Falls, SD 57103 2009-05-18
1841430162 Martin Frank Petereit Radiology 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 2009-02-26
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649241407 Harvey A Akerson Dentist 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 2006-01-30
1376522714 River Ridge Oral & Maxillofacial Surgical Center Dentist 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 2006-01-13
1487639316 Bruce Evan Partnoy Dentist 5200 S Cliff Ave, Suite 102, Sioux Falls, SD 57108 2005-12-14
1588083711 Trevor Holleman Dentist 1700 S Southeastern Ave, Sioux Falls, SD 57103 2014-04-15
1861692949 Louis Theodore George Dentist 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 2007-07-18
1144421645 Dr. Bruce Partnoy Dds, PC Dentist 5200 S Cliff Ave, Suite 102, Sioux Falls, SD 57108-5436 2007-05-30
1790757011 Siouxland Oral Surgery Dentist 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 2006-02-02
1821069253 Denis Miller Dentist 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 2006-02-01
1780655530 Raymon P Grewal Dentist 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 2006-01-30
1205815370 Robert D Hille Dentist 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 2006-01-17
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57103

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Dataset Information

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.

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