| Dr. Lori Henderson | |
|
1506 Chapel Hill Rd Ste B Columbia MO 65203-5504 | |
| (573) 446-6868 | |
| (573) 446-5588 |
| Full Name | Dr. Lori Henderson |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1506 Chapel Hill Rd Ste B, Columbia, Missouri |
| Authorized Official Name and Position | Nick Cox (OFFICE MANGER) |
| Authorized Official Contact | 5734466868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lori Henderson 1506 Chapel Hill Rd Ste B Columbia MO 65203-5504 Ph: (573) 446-6868 | Dr. Lori Henderson 1506 Chapel Hill Rd Ste B Columbia MO 65203-5504 Ph: (573) 446-6868 |
| NPI Number | 1649783614 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649783614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 15006 (Montana) | Primary |
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