Henderson, Robert W

Henderson, Robert W is an individual health care provider with primary practice located at 101 Darby Dr Suite 101, Georgetown KY 40324-8715. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Henderson, Robert W can be contacted via phone (502) 863-5858.

Contact Information

Primary practice address
101 Darby Dr Suite 101 Georgetown KY 40324-8715
Phone: (502) 863-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7379 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7379 Kentucky

Profile Details

NPI number 1811915622
LBN Legal business name Henderson, Robert W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811915622 NPPES
Kentucky Other 1609000272 GROUP NPI

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