National Provider Identifier Database

JAMES M HENDERSON, M.D./DDS – NPI #1295799963
Oral & Maxillofacial Surgery


Contact Information

JAMES M HENDERSON, M.D./DDS
415 MORRIS ST
SUITE 309
CHARLESTON, WV25301-1842
Phone: 304-388-3290
Fax: 304-388-3186
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for JAMES M HENDERSON

NPI Number 1295799963
Credentials M.D./DDS
Entity Individual
Enumeration date 04/12/2006
Last updated 06/09/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • WV License #: 20470
  • WV Medicaid: 4002055-000
  • WV Medicaid: 4002055001
  • Other: 850000287 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JAMES M HENDERSON, M.D./DDS

There are currently no reviews for JAMES M HENDERSON, M.D./DDS


NPIdb - Home
v2.201