Dr Stephanie Reeder Henley, MD, DMD is a
Oral & Maxillofacial Surgery based in Jacksonville, Florida. Dr Stephanie Reeder Henley is licensed to practice in Florida (license number DN 16425) and her current practice location is
4100 Southpoint Dr E Ste 5, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 565-1505.
NPI number for Dr Stephanie Reeder Henley is 1093821647 and her current mailing address is 4100 Southpoint Dr E Ste 5, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093821647.
Healthcare Provider's Profile
| Full Name | Dr Stephanie Reeder Henley |
|---|
| Gender | Female |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 4100 Southpoint Dr E Ste 5, Jacksonville, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093821647
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 10/19/2022
Medical Identifiers
Medical identifiers for Dr Stephanie Reeder Henley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093821647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN 16425 (Florida) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN16425 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | ME113042 (Florida) | Secondary |
| 208600000X | Surgery | ME113042 (Florida) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DN 16425 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephanie Reeder Henley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephanie Reeder Henley, MD, DMD
4100 Southpoint Dr E Ste 5,
Jacksonville, FL 32216-8710
Ph: (904) 281-2225 | Dr Stephanie Reeder Henley, MD, DMD
4100 Southpoint Dr E Ste 5,
Jacksonville, FL 32216-8710
Ph: (904) 565-1505 |
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