Florek Henderson Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5223-015 Issued in WI

Legal business name

FLOREK HENDERSON DENTAL LLC

Practice address

1380 S Commercial St
Neenah, WI 54956-4636

Phone

(920) 725-5357

Fax

(920) 969-9813

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason Robert Henderson, D.D.S.NPI 1871699900

Title

Owner

Phone

(920) 725-5357

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jason Henderson, DDS

  • General Practice Dentistry
  • Neenah, WI
  • NPI 1871699900
  NPD (past) Authorized official
• Amy E Henderson, D.D.S.

  • Dentist
  • Neenah, WI
  • NPI 1740379452

  General Practice

  NPD
• Phillip D Florek, D.D.S.

  • General Practice Dentistry
  • Neenah, WI
  • NPI 1902995608
  NPD (past)
• Robert G Hering, DDS

  • General Practice Dentistry
  • Neenah, WI
  • NPI 1437225018
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1225127947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-725-5357",
            "fax_number": "920-969-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-725-5357",
            "fax_number": "920-969-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOREK HENDERSON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-725-5357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5223-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Ann Fink, PT
• Meghan K Fischer
• Ronald D. Fischer, D.C.
• Charles Flaskrud
• Amy Jean Flick, MPT
• Phillip D Florek, D.D.S.
• Deirdre Floros
• Laura Ann Flottemesch
• Kevin J Flynn, M.D.
• Leah Elaine Folks, LMFT

• General Practice Dentistry in Neenah, WI
• Providers in Neenah, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.