Active NPI
Henry M Lennon, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Boca Raton, FL
National Provider Identifier
1598872533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN 10788
- Practice address
- 2499 Glades Rd
Suite 207
Boca Raton, FL 33431-7209 - Phone
- (561) 395-8200
- Fax
- (561) 395-4630
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN 10788 | FL | Primary |
Addresses
Primary practice location
2499 Glades Rd
Suite 207
Boca Raton, FL 33431-7209
Mailing address
2499 Glades Rd
Suite 207
Boca Raton, FL 33431-7209
Phone (561) 395-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 10788 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 10788 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Henry M Lennon | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Boca Raton, FL
- NPI 1295140416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598872533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 GLADES RD",
"address_2": "SUITE 207",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317209",
"telephone_number": "561-395-8200",
"fax_number": "561-395-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 GLADES RD",
"address_2": "SUITE 207",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317209",
"telephone_number": "561-395-8200",
"fax_number": "561-395-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "HENRY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN 10788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.