Walter Andrew Henry, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

6172 Issued in KY

Practice address

4431 68TH Street
USA Dentac
Ft Hood, TX 76544

Phone

(254) 287-2705

Fax

(254) 287-1786

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1073616850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 68TH STREET",
            "address_2": "USA DENTAC",
            "city": "FT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-2705",
            "fax_number": "254-287-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 68TH STREET",
            "address_2": "USA DENTAC",
            "city": "FT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-2705",
            "fax_number": "254-287-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "WALTER",
        "middle_name": "ANDREW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6172",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "KY",
            "license": "6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Hedden, PA-C
• Jennifer M Hein, MD
• Bernard Joseph Hennessy, DDS
• Dusti Renae Henrichs, PHARM D
• Lai-Lani Marie Henry
• Keaton James Henscheid, DMD
• Eric Heppner, M.D.
• Danielle Hicks
• Edmund William Higgins, M.D.
• Alicia Christine Hightower, RN

• Oral and Maxillofacial Pathology Dentistry in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Oral and Maxillofacial Pathology Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.