Donna Henley-Jackson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25246 Issued in TX

Practice address

605 S Conroe Medical Dr
Lone Star Family Health Center
Conroe, TX 77304-4722

Phone

(936) 523-5292

Fax

(936) 521-8450

NPI assigned

May 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1740574466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "address_2": "LONE STAR FAMILY HEALTH CENTER",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-523-5292",
            "fax_number": "936-521-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "address_2": "LONE STAR FAMILY HEALTH CENTER",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-523-5292",
            "fax_number": "936-521-8450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Tuxedo Park",
            "state": "NY",
            "postal_code": "109875505",
            "country_code": "US",
            "telephone_number": "845-306-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY-JACKSON",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25246",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Hebert, M.D.
• Audrey Hedspetch
• Michelle Renea Helgerson, NP-C
• Annebel Hemphill
• Janis Hendrixson
• Carol A Hennessy, NP
• Rafel Donnell Henry
• Mary Katherine Henson, D.O.
• Jefferson Tyler Henthorn, DDS
• Hephzibah-Beulah LLC

• Pediatric Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• Pediatric Dentistry in Texas

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