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General NPI Number Information
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NPI Number | 1164894044
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Entity Type | Individual
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Provider Name | BRETT HOUSTON HENDERSON D.M.D., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 410 N PARRISH PL STE 1000
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1003
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Country | US
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Telephone | 615-824-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N PARRISH PL STE 1000
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1003
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Country | US
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Telephone | 615-824-1700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1316
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10288
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 10288
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License Number State | TN
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