| Patrick Henrie, DDS | |
|
1096 S Dora St, Ukiah, CA 95482-5737 | |
| (707) 462-5706 | |
| Not Available |
| Full Name | Patrick Henrie |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1096 S Dora St, Ukiah, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275653743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20020 (California) | Primary |
| Entity Name | Mendocino Community Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Henrie, DDS Po Box 416, Talmage, CA 95481-0416 Ph: (707) 468-2176 | Patrick Henrie, DDS 1096 S Dora St, Ukiah, CA 95482-5737 Ph: (707) 462-5706 |
Andrew Irvine Corbett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-6086 | |
Dr. Robert Blake Tandy, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1236 Vista Verde Rd, Ukiah, CA 95482 Phone: 707-972-1123 Fax: 707-468-0899 | |
Kenneth Barry, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1252 Airport Park Blvd, Suite D1, Ukiah, CA 95482 Phone: 707-462-8719 | |
Dr. Anthoula S Vlachos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 471 Lovers Ln, Ukiah, CA 95482 Phone: 707-972-2602 | |
Dr. Nicholas Nadiem Khoury, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 415 W Standley St, Ukiah, CA 95482 Phone: 707-462-2170 Fax: 707-462-1953 | |
Dr. Gary R Keszler, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-6086 | |
Dr. William Green, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 772 S Dora St, Ukiah, CA 95482 Phone: 707-462-2913 Fax: 707-462-0350 |