Dr. David Leroy Henninger II, DMD
Dentist, General Practice in Dubois, PA. Individual provider (NPI-1).
NPI number1750594792
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750594792
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Leroy Henninger II
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS027641-L | PA | Yes |
Practice location
17 A North Main StDubois, PA 15801
Phone 814-371-0705 · Fax 814-371-9529
Mailing address
17 A North Main StreetDubois, PA 15801
Phone 814-375-5872 · Fax 814-371-9529
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