Search › Minnesota › 122300000X
Michael Henderson, DDS
NPI 1821538265 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3200 Lexington Ave N Ste B
Shoreview, MN 55126 - Phone
- (651) 255-8888
- Clinicians at this address
- 2
Additional practice sites
- 606 24th Ave S, Minneapolis, MN
- 1670 Beam Ave Ste 204, Maplewood, MN
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-16
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 Minnesota