National Provider Identifier Database

WALTER E HENDERSON, DDS – NPI #1013079656
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

WALTER E HENDERSON, DDS
179 N CHURCH AVE
SUITE 102
FAYETTEVILLE, AR72701
Phone: 479-442-6512
Fax: 479-442-7817
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for WALTER E HENDERSON

NPI Number 1013079656
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: 2240
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.

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