Dionne Nicole Henderson is a South Holland, Illinois based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dionne Nicole Henderson is 019023986 for General Practice Dentistry in Illinois. Her current practice location is 605 E 170th St, South Holland. Patients can reach her at 708-893-0368.
Dionne Nicole Henderson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dionne Nicole Henderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dionne Nicole Henderson
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
605 E 170th St, South Holland, Illinois, 60473-3408
Phone:
708-893-0368
Fax:
708-893-0456
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053422758
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
08 Oct, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dionne Nicole Henderson are as mentioned below.
License Number
Specialization
State
Status
019023986
General Practice Dentistry
Illinois
Primary
2901017114
General Practice Dentistry
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dionne Nicole Henderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4231409
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1959 E 166th Pl, South Holland, Illinois
Zip:
60473-2666
Phone Number:
248-760-1856
Fax Number:
708-895-2161
Patients can reach Dionne Nicole Henderson at 605 E 170th St, South Holland, Illinois or can call to book an appointment on 708-893-0368. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.