| Jason David Henderson, DDS | |
| 8179 Cazenovia Rd., Manlius, NY 13104 | |
| (315) 682-2466 | |
| (315) 682-3179 | 
| Full Name | Jason David Henderson | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 8179 Cazenovia Rd., Manlius, New York | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093987216 | NPI | - | NPPES | 
| 1316096340 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 054488 (New York) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jason David Henderson, DDS 8179 Cazenovia Rd, Manlius, NY 13104-9778 Ph: (315) 682-2466 | Jason David Henderson, DDS 8179 Cazenovia Rd., Manlius, NY 13104 Ph: (315) 682-2466 | 
| Dr. Mark Isidore Boule, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8076 Cazenovia Rd, Manlius, NY 13104 Phone: 315-682-5200 Fax: 315-682-2602 | |
| Dr. Gisella Mortelliti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8481 Woodbox Rd, Manlius, NY 13104 Phone: 315-469-6499 | |
| Dr. Charles Dicosimo Iii, DMD, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8191 Cazenovia Rd, Manlius, NY 13104 Phone: 315-692-0127 | |
| Dr. Kevin P Hickey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8108 Cazenovia Road, 7 Pines Office Park Bldg 2, Manlius, NY 13104 Phone: 315-682-8921 Fax: 315-682-5561 | |
| Dr. William J. Egan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4500 Pewter Ln, Bldg. 6, Manlius, NY 13104 Phone: 315-682-4314 | |
| Dr. William Helf Karp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8179 Cazenovia Rd, Manlius, NY 13104 Phone: 315-682-2386 Fax: 315-682-3914 |