Dr Walter E Henderson, DDS - Dentist in Fayetteville, AR

Dr Walter E Henderson, DDS is a Dentist - General Practice based in Fayetteville, Arkansas. Dr Walter E Henderson is licensed to practice in Tennessee (license number 2240) and his current practice location is 179 N Church Ave, Suite 102, Fayetteville, Arkansas. He can be reached at his office (for appointments etc.) via phone at (479) 442-6512.

NPI number for Dr Walter E Henderson is 1013079656 and his current mailing address is 179 N Church Ave, Suite 102, Fayetteville, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013079656.

Contact Information

Dr Walter E Henderson, DDS
179 N Church Ave, Suite 102,
Fayetteville, AR 72701
(479) 442-6512
(479) 442-7817

Map and Direction




Healthcare Provider's Profile

Full NameDr Walter E Henderson
GenderMale
SpecialityDentist - General Practice
Location179 N Church Ave, Fayetteville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013079656
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Walter E Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013079656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2240 (Tennessee)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 E Henderson 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 AddressPractice Location Address
Dr Walter E Henderson, DDS
179 N Church Ave, Suite 102,
Fayetteville, AR 72701-5265

Ph: (479) 442-6512
Dr Walter E Henderson, DDS
179 N Church Ave, Suite 102,
Fayetteville, AR 72701

Ph: (479) 442-6512

Reviews and Comments


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