MEDICARE: DR. SCOTT LEROY HENRIKSEN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	36319	CA

General Provider Information

NPI Number	:	1841415379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT LEROY HENRIKSEN D.D.S.

Provider Business Mailing Address
First Line	:	1112 N CHINOWTH ST
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-7896
Country	:	US
Telephone Number	:	559-733-2363
Fax Number	:	559-635-7766

Provider Business Practice Location Address
First Line	:	1112 N CHINOWTH ST
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-7896
Country	:	US
Telephone Number	:	559-733-2363
Fax Number	:	559-635-7766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/04/2021

Similar Medicare Providers

1578551925 — DR. MARCUS EUGENE VAUGHN JR. D.C.
Practice Location Address:

1126 N CHINOWTH ST
VISALIA, CA
93291-7896

Practice Phone: 559-734-3414
Practice Fax: 559-734-8850

1710943576 — GATEWAY HOME DIALYSIS, INC.
Practice Location Address:

1120 N CHINOWTH ST
VISALIA, CA
93291-7896

Practice Phone: 559-733-9707
Practice Fax: 559-733-7009

1477580421 — DOUGLAS ALLEN GILIO DDS
Practice Location Address:

1128 N CHINOWTH STREET
VISALIA, CA
93291-7896

Practice Phone: 559-625-4915
Practice Fax:

1396801106 — DR. CHRISTOPHER JOHN AUDINO D.D.S.
Practice Location Address:

1134 N CHINOWTH ST
VISALIA, CA
93291-7896

Practice Phone: 559-732-3977
Practice Fax:

1487858619 — DEBORAH TAYLOR DELONG SLP
Practice Location Address:

1118 N CHINOWTH ST
VISALIA, CA
93291-7896

Practice Phone: 559-741-9687
Practice Fax: 559-741-9694

1750565958 — DR. DAVID JOSHUA SMITH D.D.S.
Practice Location Address:

1116 N CHINOWTH ST
VISALIA, CA
93291-7896

Practice Phone: 559-732-7946
Practice Fax:

Directions to “ DR. SCOTT LEROY HENRIKSEN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.