S Reeder Henley Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

S REEDER HENLEY ORAL SURGERY

Practice address

4100 Southpoint Dr E Ste 5
Jacksonville, FL 32216-8710

Phone

(904) 281-2225

NPI assigned

Apr 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephanie Reeder Henley, DMD, MDNPI 1093821647

Title

Owner

Phone

(352) 318-8660

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Reeder Henley, MD, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jacksonville, FL
  • NPI 1093821647
  NPD Authorized official
• James Edward Cherry, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1225021363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1033804828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SOUTHPOINT DR E STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168710",
            "telephone_number": "904-281-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SOUTHPOINT DR E STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168710",
            "telephone_number": "904-281-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S REEDER HENLEY ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "REEDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-318-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rymes, LMHC
• Rys Wellness
• Diane Rys
• Rebecca L Ryszkiewicz, MD
• S & D Lawn Care Services Corp
• S-N-S Logistics LLC
• S. Ali Safi, M.D. Pediatrics
• S&K Helping Hands LLC
• S2S Dental Care
• Sa-PG-Jacksonville LLC

• Oral and Maxillofacial Surgery Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.