Henderson, Marc
Henderson, Marc is an individual health care provider with primary practice located at 255 North Main Street , Bristol CT 06010. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Henderson, Marc can be contacted via phone (860) 589-7170.Contact Information
Primary practice address
255 North Main Street
Bristol CT 06010
Phone: (860) 589-7170
Fax: (860) 582-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9602 | Connecticut |
Profile Details
| NPI number | 1124215983 |
|---|---|
| LBN Legal business name | Henderson, Marc |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Sep 26th, 2007 - 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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