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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 Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for JAMES M HENDERSON · (Male)

NPI Number 1295799963
Status Active
Credentials M.D./DDS
Entity Individual
Enumeration date 04/12/2006
Last updated 06/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 20470
  • WV Medicaid 4002055-000
  • WV Medicaid 4002055001
  • Other 850000287 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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.

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