Henry, Andrea
Henry, Andrea is an sole proprietor health care provider with primary practice located at 8110 Cordova Rd Suite 125, Cordova TN 38016-0520. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Henry, Andrea can be contacted via phone (901) 755-0001.Contact Information
Primary practice address
8110 Cordova Rd Suite 125
Cordova TN 38016-0520
Phone: (901) 755-0001
Fax: (901) 755-9679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07481 | Tennessee |
Profile Details
| NPI number | 1932284999 |
|---|---|
| LBN Legal business name | Henry, Andrea |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Nov 15th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932284999 | NPPES |
| Tennessee | MEDICAID | 1520260 |
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