Stephanie Reeder Henley, MD, D.M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN 16425 Issued in FL

Practice address

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

Phone

(904) 565-1505

Fax

(904) 565-1506

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Stephanie Lynn Reeder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S Reeder Henley Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Jacksonville, FL
  • NPI 1033804828
  NPD Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1093821647",
    "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": "904-565-1505",
            "fax_number": "904-565-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "STEPHANIE",
        "middle_name": "REEDER",
        "name_prefix": "Dr.",
        "credential": "MD, D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16425",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16425",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME113042",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME113042",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 16425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "REEDER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "M.D.,D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nichole Christiane Henkes
• Kimberly Michele Henley-Brown, DDS
• CJ Henley, DMD
• Lewalie Julian Henley, DC
• Nia Henley, OTR/L
• Cecilia Bernadette Hennig, RD,LD/N,CDE
• Sydne M Hennings
• Lucna Henrisme, MD
• Jill E Henry Castellani, M.S., BCBA
• Henry Lepely MD PA

• Oral & Maxillofacial Surgery (D.M.D.) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.