Henriksen, Brent Jason

Henriksen, Brent Jason is an sole proprietor health care provider with primary practice located at 1700 S. Southeastern Ave. River Ridge Oral And Maxillofacial Surgical Center, Sioux Falls SD 57103. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Henriksen, Brent Jason can be contacted via phone (605) 331-5059.

Contact Information

Primary practice address
1700 S. Southeastern Ave. River Ridge Oral And Maxillofacial Surgical Center Sioux Falls SD 57103
Phone: (605) 331-5059
Fax: (605) 275-6725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6428 Nebraska
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D0814 South Dakota

Profile Details

NPI number 1821118480
LBN Legal business name Henriksen, Brent Jason
Credentials M.D., D.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 25th, 2008 - about 16 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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