William Kelly Henderson, DDS is a
Dentist - General Practice based in Fritch, Texas. William Kelly Henderson is licensed to practice in Texas (license number 28028) and his current practice location is
405 W Broadway St, Fritch, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 587-3389.
NPI number for William Kelly Henderson is 1396097036 and his current mailing address is 405 W Broadway St, Fritch, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396097036.
Healthcare Provider's Profile
| Full Name | William Kelly Henderson |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 405 W Broadway St, Fritch, Texas |
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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: 1396097036
- Provider Enumeration Date: 10/04/2012
- Last Update Date: 10/04/2012
Medical Identifiers
Medical identifiers for William Kelly Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396097036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 28028 (Texas) | 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. William Kelly 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 Address | Practice Location Address |
|---|
William Kelly Henderson, DDS
405 W Broadway St,
Fritch, TX 79036-8636
Ph: (806) 587-3389 | William Kelly Henderson, DDS
405 W Broadway St,
Fritch, TX 79036-8636
Ph: (806) 587-3389 |
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