ROBERT W HENDERSON (NPI# 1811915622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811915622 |
| Entity Type | Individual |
| Full Name | ROBERT W HENDERSON |
| Credential | DMD |
| Practice Address |
101 Darby Dr Suite 101 Georgetown KY 40324-8715 |
| Mailing Address |
972 Fiddler Creek Way Lexington KY 40515-6460 |
| Practice Telephone | 5028635858 |
| Mailing Telephone | 8599719722 |
| Mailing Fax Number | 8599719722 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7379 | KY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7379 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | GROUP NPI | 1609000272 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231517 | Robert Michael Henderson | Dentist | 6222 W 9th Ave, Amarillo College Dental Clinic, Amarillo, TX 79106-0701 | 2007-06-06 |
| 1578601118 | Robert D. Henderson | Chiropractor | 1400 E Robinson St, Orlando, FL 32801-2120 | 2007-02-04 |
| 1336213776 | Robert S. Henderson | Counselor | 16 High St., South Glastonbury, CT 06073 | 2006-11-18 |
| 1972673838 | Robert C Henderson | Specialist | 4600 N Habana Ave Ste 30, Tampa, FL 33614-7123 | 2006-11-08 |
| 1275543092 | Robert E. Henderson | Dentist | 824 E Redd Rd, Ste. 1-b, El Paso, TX 79912-7262 | 2006-08-08 |
| 1609830041 | Robert W Henderson | Family Medicine | 2929 Carlisle St, Suite 260, Dallas, TX 75204-1084 | 2006-04-13 |
| 1942277439 | Robert L Henderson | Otolaryngology | 10480 Little Patuxent Pkwy, Suite 220, Columbia, MD 21044-3568 | 2006-03-02 |
| 1437132552 | Robert Clark Henderson | Obstetrics & Gynecology | 44 Tiverton Ln, Asheville, NC 28803-1909 | 2005-11-22 |
| 1124010285 | Robert R Henderson | Ophthalmology | 1800 State St, Nashville, TN 37203-2206 | 2005-08-16 |
| 1326673476 | Robert B Henderson Jr. | Social Worker | 1408 Bailey Ave, Chattanooga, TN 37404-2903 | 2020-03-10 |
| Street Address |
101 DARBY DR SUITE 101 |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609000272 | Georgetown Oral and Facial Surgery, LLC | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
| 1619317039 | Brittany Ky Eidson | Dentist | 4029 Mercer Rd, Georgetown, TX 78628-2141 | 2013-06-29 |
| 1811090004 | Grant K Nakashima | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
| 1083671507 | William F Rinehart | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2006-04-27 |
| 1386617835 | Gregory N Burroughs | Dentist | 3622 Williams Dr, Building 1, Georgetown, TX 78628-2420 | 2006-02-07 |
| 1609000272 | Georgetown Oral and Facial Surgery, LLC | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2009-05-11 |
| 1629251624 | Jeremy D Leland | Dentist | 3622 Williams Dr, Bldg 1, Georgetown, TX 78628-2415 | 2007-12-12 |
| 1942482807 | San Gabriel Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2007-12-03 |
| 1700931987 | South Strand Oral & Maxillofacial Surgery | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2007-01-25 |
| 1932202124 | Michaelanne E Briggs | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on ROBERT W HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.