Search › South Dakota › 1223S0112X
Brent Henriksen, M.D., D.D.S
NPI 1821118480 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1700 S. Southeastern Ave.
River Ridge Oral And Maxillofacial Surgical Center
Sioux Falls, SD 57103 - Phone
- (605) 331-5059
- Fax
- (605) 275-6725
- Organisation at this address
- River Ridge Oral & Maxillofacial Surgical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- NE, SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-25
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 South Dakota