DR. BRIAN HENNINGSEN, DDS

Dentist - General Practice

Active Individual
NPI: 1033158993

Practice Address

1600 B SOUTHWEST BLVD
Jefferson City, MO 65109

Phone: (573) 635-4852

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 013482 (MO)

Frequently Asked Questions

NPI 1033158993 is the National Provider Identifier for DR. BRIAN HENNINGSEN, DDS, a Dentist - General Practice provider located in Jefferson City, MO. This NPI was enumerated on June 6, 2006.
DR. BRIAN HENNINGSEN, DDS practices at 1600 B SOUTHWEST BLVD, Jefferson City, MO 65109.

Quick Facts

NPI
1033158993
Type
Individual
Enumerated
Jun 6, 2006
Last Updated
Jul 8, 2007

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