Dr Walter A Henderson Jr, DDS is a
Dentist - General Practice based in Holts Summit, Missouri. Dr Walter A Henderson Jr is licensed to practice in Missouri (license number 013112) and his current practice location is
320 S. Summit Dr., Holts Summit, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 896-5128.
NPI number for Dr Walter A Henderson Jr is 1285863340 and his current mailing address is 320 S. Summit Dr., Holts Summit, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285863340.
Healthcare Provider's Profile
| Full Name | Dr Walter A Henderson Jr |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 320 S. Summit Dr., Holts Summit, Missouri |
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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: 1285863340
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 07/10/2009
Medical Identifiers
Medical identifiers for Dr Walter A Henderson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285863340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 013112 (Missouri) | 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 Walter A Henderson Jr 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 Walter A Henderson Jr, DDS
320 S. Summit Dr.,
Holts Summit, MO 65043
Ph: (573) 896-5128 | Dr Walter A Henderson Jr, DDS
320 S. Summit Dr.,
Holts Summit, MO 65043
Ph: (573) 896-5128 |
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