DR. DAVID J HENDERSON


Address: 857 S Auto Mall Rd, Bloomington, IN 47401-5447
Phone: 8123331051

DR. DAVID J HENDERSON (NPI# 1992820773) 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) 1992820773
Entity Type Individual
Full Name DR. DAVID J HENDERSON
Credential DDS
Practice Address 857 S Auto Mall Rd
Bloomington
IN 47401-5447
Mailing Address 4611 Eagleview Dr
Bloomington
IN 47403-9043
Practice Telephone 8123331051
Practice Fax Number 8123338933
Mailing Telephone 8128242782
Mailing Fax Number 8123338933
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
12007864A IN Dental Providers

Other Providers DAVID HENDERSON

NPI Name Taxonomy Address Enumeration
1962644492 David Kelso Henderson Internal Medicine Room 6 1480 Bldg 10, 10 Center Drive, Bethesda, MD 20892-0001 2009-03-30
1346400249 David Duff Henderson Psychiatry & Neurology 1033 El Camino Real, Atascadero, CA 93422 2008-06-13
1265553762 David C Henderson Dentist 113 North Pearl St, Carthage, MS 39051 2007-04-02
1578600227 David J Henderson Pediatrics 2507 Battleground Ave, Suite B, Greensboro, NC 27408-4003 2007-01-31
1831245893 David L Henderson Psychiatry & Neurology 5910 N Central Expy, Suite 790, Dallas, TX 75206-5125 2007-01-25
1306995527 David Henderson Internal Medicine 531 Polk 77, Mena, AR 71953-7848 2007-01-09
1972679868 David William Henderson Pharmacist 523 First St, Glasgow, MO 65254 2006-11-24
1215027289 David T Henderson Counselor 301-a Palmetto Park Blvd, Lexington, SC 29072 2006-10-13
1700838570 David V Henderson Family Medicine 312 S Maple St, Garnett, KS 66032 2006-05-17
1417933284 David J Henderson Urology 620 East Medical Dr, Suite 300, Bountiful, UT 84010-5171 2005-12-22

Office Location

Street Address 857 S AUTO MALL RD
City BLOOMINGTON
State IN
Zip Code 47401-5447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770964785 Andrew Paul Watkins Dentist 857 S Auto Mall Rd, #4, Bloomington, IN 47401-5447 2015-06-16
1841505252 Bloomington Oral Surgery LLC Dentist 857 S Auto Mall Rd, Bloomington, IN 47401-5447 2010-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740765791 Holly G Carter Physical Therapist 3607 Heirloom Dr, Bloomington, IN 47401 2018-09-26
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1881104289 Ev Bloomington Limited Partnership Assisted Living Facility 3607 South Heirloom Drive, Bloomington, IN 47401 2017-10-11
1619496536 Kirsten N Neely Physical Therapist 2604 E. Creek's Edge Dr., Bloomington, IN 47401 2017-09-12
1023533908 Hoosier United Therapy Service LLC Physical Therapist 2801 E Plateau Place, Bloomington, IN 47401 2017-08-11
1194127381 Ann Marie Neeley Lactation Consultant, Non-RN 2458 South Walnut Street, Bloomington, IN 47401 2014-09-19
1518397801 Indiana Spine and Sports Inc. Chiropractor 418 S Walnut St Suite C, Bloomington, IN 47401 2013-11-22
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
Find all providers in zip 47401

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992290746 Bbb of In, LLC Dentist 905 S College Mall Rd, Bloomington, IN 47401-6302 2018-06-25
1962796953 Ann Z Granicz Dentist 1320 W Bloomfield Rd Ste B, Bloomington, IN 47403-2001 2011-06-07
1588819346 Joshua Allan Chapman Dentist 3925 E. Hagan St., Suite 201, Bloomington, IN 47401 2008-11-20
1720255839 Robert Lauder Dentist 111 N Regency Dr, Bloomington, IL 61701-3515 2008-05-08
1801173489 Group Health Plan, Inc Dentist 8170 33rd Ave S, Bloomington, MN 55425-4516 2011-11-09
1285891192 Francis Patrick Green Dentist 111 N Regency Dr, Bloomington, IL 61701-3515 2008-05-19
1134396336 Scott Mathew Peterson Dentist 111 N Regency Dr, Bloomington, IL 61701-3515 2008-05-15
1518082643 Coghlan Orthodontics Dentist 2911 E Covenanter Dr, Bloomington, IN 47401-6320 2007-03-20
1609990175 Ocg Ltd Dentist 8600 Nicollet Ave S, Bloomington, MN 55420-2824 2007-03-19
1073637450 Charles Y. Coghlan Dentist 2911 E Covenanter Dr, Bloomington, IN 47401-6320 2007-03-19
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47401

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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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