| Jeffrey L Henken Dds | |
|
1020 E Locust Emmett ID 83617 | |
| (208) 365-5064 | |
| (208) 365-4235 |
| Full Name | Jeffrey L Henken Dds |
|---|---|
| Speciality | Dentist |
| Location | 1020 E Locust, Emmett, Idaho |
| Authorized Official Name and Position | Jeffrey L Henken (DENTIST OWNER) |
| Authorized Official Contact | 2083655064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Henken Dds 1020 E Locust Emmett ID 83617 Ph: (208) 365-5064 | Jeffrey L Henken Dds 1020 E Locust Emmett ID 83617 Ph: (208) 365-5064 |
| NPI Number | 1760592869 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760592869 | NPI | - | NPPES |
| 68726 | Other | ID | BLUE CROSS |
| 000010012438 | Other | ID | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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