Henderson, Michael
Henderson, Michael is an sole proprietor health care provider with primary practice located at 3200 Lexington Ave N Ste B , Shoreview MN 55126-8118. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Henderson, Michael can be contacted via phone (651) 255-8888.Contact Information
Primary practice address
3200 Lexington Ave N Ste B
Shoreview MN 55126-8118
Phone: (651) 255-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D13957 | Minnesota |
| Dental Providers / Dentist | 122300000X | D13957 | Minnesota |
Profile Details
| NPI number | 1821538265 |
|---|---|
| LBN Legal business name | Henderson, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2017 |
| Last updated | Feb 16th, 2021 - about 3 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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