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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.