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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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