Stephen M Henry, DMD | |
4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9506 | |
(904) 508-0710 | |
(855) 299-7010 |
Full Name | Stephen M Henry |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 4615 Philips Hwy Ste 3, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851455117 | NPI | - | NPPES |
024032400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN14864 (Florida) | Primary |
Entity Name | Can Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104829274 PECOS PAC ID: 6305883133 Enrollment ID: O20050413000876 |
Mailing Address | Practice Location Address |
---|---|
Stephen M Henry, DMD 4440 Fruitville Rd, Sarasota, FL 34232-1926 Ph: (941) 366-0134 | Stephen M Henry, DMD 4615 Philips Hwy Ste 3, Jacksonville, FL 32207-9506 Ph: (904) 508-0710 |
Anthony Massaro, MD, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7711 Baymeadows Rd E Ste 7, Jacksonville, FL 32256 Phone: 904-565-1505 | |
Dr. Tsu Yin Chen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 554 Keily St, Bureau Of Medicine And Surgery Ccpd, Jacksonville, FL 32212 Phone: 757-953-7011 | |
Romao Tormena Jr., Dentist Medicare: Not Enrolled in Medicare Practice Location: 5491 Dolphin Point Blvd, Jacksonville, FL 32211 Phone: 904-256-7854 | |
Dr. Syed-omair Ali, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041 | |
Ms. Valerie J. V. Minor, DMS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2363 Dunn Ave, Jacksonville, FL 32218 Phone: 904-751-6030 Fax: 904-751-5828 | |
Dr. Kenneth A Mertz Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1722 University Blvd., Jacksonville, FL 32216 Phone: 904-253-1240 Fax: 904-727-6548 | |
Dr. Ronald Appleby, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-3442 |