Dr Theodore B Hennig, DDS MS is a
Oral & Maxillofacial Surgery based in Saginaw, Michigan. Dr Theodore B Hennig is licensed to practice in Michigan (license number 2901014716) and his current practice location is
4350 Fashion Square Boulevard, Saginaw, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 799-7128.
NPI number for Dr Theodore B Hennig is 1417023144 and his current mailing address is 4350 Fashion Square Boulevard, Saginaw, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417023144.
Healthcare Provider's Profile
| Full Name | Dr Theodore B Hennig |
|---|
| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 4350 Fashion Square Boulevard, Saginaw, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417023144
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Theodore B Hennig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417023144 | NPI | - | NPPES |
| OG361000 | Other | MI | BLUE CARE NETWORK |
| OG361000 | Other | MI | BCBS OF MI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901014716 (Michigan) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 2901014716 (Michigan) | 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 Theodore B Hennig 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 Theodore B Hennig, DDS MS
4350 Fashion Square Boulevard,
Saginaw, MI 48603-1249
Ph: (989) 799-7128 | Dr Theodore B Hennig, DDS MS
4350 Fashion Square Boulevard,
Saginaw, MI 48603-1249
Ph: (989) 799-7128 |
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