NPI 1760539670 · live from the CMS NPI Registry
George O. Henderson DDS Ltd Dba The Dentists' Office
Dentist, General Practice in Fallon, NV. National Provider Identifier 1760539670, active.
NPI record
| NPI | 1760539670 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1241 S Taylor St, Fallon, NV 89406 |
| Practice phone | 775-423-7400 |
| Enumerated | January 4, 2007 |
| Last updated | September 8, 2008 |
| Authorized official | George Henderson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 4625 (NV) |
| Dentist, General Practice | 1223G0001X | GR4512TA (NV) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5347 (NV) |
| Dentist, General Practice primary | 1223G0001X | 2429 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.