| Jeffrey J Henneberg, Dds | |
|
5901 N Mayfair St Suite 201 Spokane WA 99208-5096 | |
| (509) 928-8400 | |
| (509) 928-1845 |
| Full Name | Jeffrey J Henneberg, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5901 N Mayfair St, Spokane, Washington |
| Authorized Official Name and Position | Jeffrey James Henneberg (OWNER/PRESIDENT) |
| Authorized Official Contact | 5099288400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey J Henneberg, Dds 100 N Mullan Rd Suite 204 Spokane Valley WA 99206-6859 Ph: (509) 928-8400 | Jeffrey J Henneberg, Dds 5901 N Mayfair St Suite 201 Spokane WA 99208-5096 Ph: (509) 928-8400 |
| NPI Number | 1679877146 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 12/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679877146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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