Roger Hennessey, D.M.D

NPI 1174853683 · on the registry since 2010 · sole proprietor

Practice

Address: 7174 Santa Teresa Blvd
A5
San Jose, CA 95139
Phone: (408) 578-0252
Organisation at this address: State Of The Heart Wellness
Seema Bansal D.D.S. And Suparna Ashrani D.D.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California