Henry, Stephen P.

Henry, Stephen P. is an sole proprietor health care provider with primary practice located at 15525 Pomerado Rd Ste C4 , Poway CA 92064-2426. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Henry, Stephen P. can be contacted via phone (858) 487-0173.

Contact Information

Primary practice address
15525 Pomerado Rd Ste C4 Poway CA 92064-2426
Phone: (858) 487-0173
Fax: (858) 487-0513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 29291 California

Profile Details

NPI number 1740497395
LBN Legal business name Henry, Stephen P.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740497395 NPPES
California Other 29291 STATE LISCENSE NUMBER
California Other 45946 STATE LISCENSE NUMBER

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