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General NPI Number Information
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NPI Number | 1003707399
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Entity Type | Organization
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Legal Business Name | CONNOR HENDERSON DMD PLLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 3047 E WARM SPRINGS RD STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89120-3761
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Country | US
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Telephone | 801-874-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 3187 MOSSFIELD AVE
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City | HENDERSON
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State | NV
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Zip | 89052-4580
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. CONNOR HENDERSON
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Credential | DMD
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Telephone | 801-874-5917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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