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Dionne Nicole Henderson, DDS
General Practice Dentistry in South Holland, Illinois
NPI 1053422758

Dionne Nicole Henderson is a General Practice Dentistry based in South Holland, IL and is specialized in General Practice. Dionne Nicole Henderson practices in South Holland, IL and has the professional credentials of DDS. The NPI Number for Dionne Nicole Henderson is 1053422758 and holds a License No. 2901017114 (Illinois).

The current practice location address for Dionne Nicole Henderson is 605 E 170Th St, South Holland, IL and can be reached out via phone at 708-893-0368 and via fax at 708-893-0456.

Location: 605 E 170Th St, South Holland, IL, 60473-2666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053422758
Provider Name
Dionne Nicole Henderson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
605 E 170Th St, South Holland, IL, 60473-2666
Phone Number
708-893-0368
Fax Number
708-893-0456
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4231409 05 MI
institution
Provider Business Practice Location Address Details
Address
605 E 170Th St
City
South Holland
State
Illinois
Zip
60473-3408
Phone Number
708-893-0368
Fax Number
708-893-0456
person
Provider Business Mailing Address Details
Address
605 E 170Th St
City
South Holland
State
Illinois
Zip
60473-3408
Phone Number
708-893-0368
Fax Number
708-893-0456
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901017114 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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