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Dr. Jessica L Henner
Student in an Organized Health Care Education/Training Program in East Islip, New York
NPI 1699064683

Jessica L Henner is a Student in an Organized Health Care Education/Training Program based in Plainview, NY. Jessica L Henner practices in East Islip, NY. The NPI Number for Jessica L Henner is 1699064683 and holds a License No. 056072 (New York).

The current practice location address for Jessica L Henner is 228 E Main St, East Islip, NY and can be reached out via phone at 631-581-8600.

Location: 228 E Main St, East Islip, NY, 11803-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699064683
Provider Name
Jessica L Henner
Credential
Provider Entity Type
Individual
Gender
Female
Address
228 E Main St, East Islip, NY, 11803-1210
Phone Number
631-581-8600
Fax Number
Provider Enumeration Date
03/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
228 E Main St
City
East Islip
State
New York
Zip
11730-2711
Phone Number
631-581-8600
Fax Number
person
Provider Business Mailing Address Details
Address
228 E Main St
City
East Islip
State
New York
Zip
11730-2711
Phone Number
631-581-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
056072 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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