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Jason David Henderson, DDS
General Practice Dentistry in Manlius, New York
NPI 1093987216

Jason David Henderson is a General Practice Dentistry based in Manlius, NY and is specialized in General Practice. Jason David Henderson practices in Manlius, NY and has the professional credentials of DDS. The NPI Number for Jason David Henderson is 1093987216 and holds a License No. 054488 (New York).

The current practice location address for Jason David Henderson is 8179 Cazenovia Rd., Manlius, NY and can be reached out via phone at 315-682-2466 and via fax at 315-682-3179.

Location: 8179 Cazenovia Rd., Manlius, NY, 13104-9778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093987216
Provider Name
Jason David Henderson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8179 Cazenovia Rd., Manlius, NY, 13104-9778
Phone Number
315-682-2466
Fax Number
315-682-3179
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316096340 05 NY
institution
Provider Business Practice Location Address Details
Address
8179 Cazenovia Rd.
City
Manlius
State
New York
Zip
13104
Phone Number
315-682-2466
Fax Number
315-682-3179
person
Provider Business Mailing Address Details
Address
8179 Cazenovia Rd.
City
Manlius
State
New York
Zip
13104
Phone Number
315-682-2466
Fax Number
315-682-3179
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
054488 (New York)
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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