Henderson, Walter E

Henderson, Walter E is an sole proprietor health care provider with primary practice located at 179 N Church Ave Suite 102, Fayetteville AR 72701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Henderson, Walter E can be contacted via phone (479) 442-6512.

Contact Information

Primary practice address
179 N Church Ave Suite 102 Fayetteville AR 72701
Phone: (479) 442-6512
Fax: (479) 442-7817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2240 Tennessee

Profile Details

NPI number 1013079656
LBN Legal business name Henderson, Walter E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 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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