Henry R. Bollinger, III, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

12887 Issued in MO

Legal business name

HENRY R. BOLLINGER, III, DDS, PC

Practice address

11897 Benham Rd
Suite 100
Saint Louis, MO 63138-1300

Phone

(314) 355-4140

Fax

(314) 355-7897

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry Bollinger III, D.D.S.

Title

Owner

Phone

(314) 355-4140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255410817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11897 BENHAM RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381300",
            "telephone_number": "314-355-4140",
            "fax_number": "314-355-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11897 BENHAM RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381300",
            "telephone_number": "314-355-4140",
            "fax_number": "314-355-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY R. BOLLINGER, III, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-355-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "12887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Louis Hennicke
• Bernadette M Henrichs, CRNA
• Jared Henrichs, M.D.
• Sally Jane Henrickson, RN/LCSW
• Belinda Henriksen, APRN, BC
• Erica Henry-Frazer, BSW
• Dermond Cortez Henry, D.O.
• Janeen Henry
• Keri Henry, PHARMD
• Kimberly Ann Henry, NP-C

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.