Douglas C. Henson Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10034 Issued in GA

Practice address

600 Oglethorpe Ave
Suite 1
Athens, GA 30606-2263

Phone

(706) 353-2575

Fax

(706) 353-6707

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679627616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OGLETHORPE AVE",
            "address_2": "SUITE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062263",
            "telephone_number": "706-353-2575",
            "fax_number": "706-353-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OGLETHORPE AVE",
            "address_2": "SUITE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062263",
            "telephone_number": "706-353-2575",
            "fax_number": "706-353-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "DOUGLAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Henderson, PHD
• Kayla Hendricks, LCSW
• Nancy C Hendrix, MD
• Toni Hendrix, LPN
• Christina Hendry, M.D
• Gun Heo, DMD
• Her Health
• Keith N Herist, PHARM.D.
• Alberto Alejandro Hernandez
• Alexandra Herrera

• General Practice Dentistry in Athens, GA
• Providers in Athens, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.