| Dr Richard Wayne Henifin, DDS | |
|
493 Main St Ste C, Diamond Springs, CA 95619-9173 | |
| (530) 626-5810 | |
| (530) 626-6560 |
| Full Name | Dr Richard Wayne Henifin |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 493 Main St Ste C, Diamond Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699820043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27526 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Wayne Henifin, DDS 493 Main St Ste C, Diamond Springs, CA 95619-9173 Ph: (530) 626-5810 | Dr Richard Wayne Henifin, DDS 493 Main St Ste C, Diamond Springs, CA 95619-9173 Ph: (530) 626-5810 |
Dr. Mitchell Allen Goodis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 540 Pleasant Valley Rd, Ste 102, Diamond Springs, CA 95619 Phone: 530-344-0290 Fax: 530-344-0291 | |
Brock Davidson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 509 Main St, Diamond Springs, CA 95619 Phone: 530-621-1051 |