Organization Active NPI

Henderson Dental II PLLC

  • Dental Clinic/Center
  • Washington, UT
National Provider Identifier
1497569768
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HENDERSON DENTAL II PLLC
Practice address
750 Merrill Road
#201
Washington, UT 84780
Phone
(435) 688-1400
Fax
(435) 938-7313
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Brandon Henderson, DMDNPI 1821296484
Title
Owner
Phone
(435) 688-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

750 Merrill Road
#201
Washington, UT 84780

Mailing address

750 Merrill Road
#201
Washington, UT 84780
Phone (435) 688-1400

Other names 1

  • Dixie Dental - Washington Doing business as

National Provider Directory

National Provider Directory

Locations

750 W Merrill Rd
#201
Washington, UT 84780
Phone (435) 688-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1497569768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MERRILL ROAD",
            "address_2": "#201",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "84780",
            "telephone_number": "435-688-1400",
            "fax_number": "435-938-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MERRILL ROAD",
            "address_2": "#201",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "84780",
            "telephone_number": "435-688-1400",
            "fax_number": "435-938-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON DENTAL II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-688-1400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixie Dental - Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.