| Henrietta Family Dentistry | |
|
116 S Archer St Henrietta TX 76365-2746 | |
| (940) 538-4201 | |
| (940) 538-6175 |
| Full Name | Henrietta Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 S Archer St, Henrietta, Texas |
| Authorized Official Name and Position | Dondi Dennis (OFFICE STAFF) |
| Authorized Official Contact | 9405384201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrietta Family Dentistry 116 S Archer St Henrietta TX 76365-2746 Ph: (940) 538-4201 | Henrietta Family Dentistry 116 S Archer St Henrietta TX 76365-2746 Ph: (940) 538-4201 |
| NPI Number | 1417078205 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417078205 | NPI | - | NPPES |
| 0911562-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16392 (Texas) | Primary |