Aisha Henry
Dentist, Orthodontics and Dentofacial Orthopedics in Clearwater, FL. Individual provider (NPI-1).
NPI number1164093043
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1164093043
- Entity type
- Individual (NPI-1)
- Name
- Aisha Henry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2021
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 11583 | TN | Yes |
Practice location
1413 Joel LnClearwater, FL 33755-2023
Phone 727-488-2884
Mailing address
Po Box 1814Clearwater, FL 33757-1814
Phone 727-488-2884
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