Aubrey J Henshaw III DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AUBREY J HENSHAW III DDS PC

Doing business as

Aesthetic Dental Institute

Practice address

611 W Ruth Ave
Sallisaw, OK 74955-6866

Phone

(918) 775-4431

Fax

(918) 775-4432

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aubrey J Henshaw III, DDSNPI 1376562637

Title

Dentist

Phone

(918) 775-4431

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dental Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aubrey J Henshaw III, D.D.S.

  • General Practice Dentistry
  • Sallisaw, OK
  • NPI 1376562637
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1205404399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550708",
            "telephone_number": "918-775-4431",
            "fax_number": "918-775-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556866",
            "telephone_number": "918-775-4431",
            "fax_number": "918-775-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBREY J HENSHAW III DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "HENSHAW",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-775-4431",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dental Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamilei Michelle Alworden Long
• Judith Anderson, CADC
• Jerry D Anglin
• Molly Marie Asher, DPT
• Aubrey J Henshaw III
• Atalia Mejia Auld
• Jarrett Carlton Bailey
• William Dean Balfour-Grice, D.PH.
• Caroline Nicole Barker
• Amanda Barnes

• Dental Clinic/Center in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.