Henderson, Braxton
Henderson, Braxton is an individual health care provider with primary practice located at 510 Nicholas Rd Ste F , Greensboro NC 27409-3404. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Henderson, Braxton can be contacted via phone (252) 213-8484.Contact Information
Primary practice address
510 Nicholas Rd Ste F
Greensboro NC 27409-3404
Phone: (252) 213-8484
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DS040743 | Pennsylvania |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 10942 | North Carolina |
Dental Providers / Dentist Anesthesiologist | 1223D0004X | 0401416381 | Virginia |
Profile Details
NPI number | 1043664188 |
---|---|
LBN Legal business name | Henderson, Braxton |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2016 |
Last updated | Feb 5th, 2019 - about 6 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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