Hirving Henriquez, DDS
Individual provider Active NPI General Practice Dentistry · Brattleboro, VT
NPI 1780355644 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1780355644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 016.0134056 (VT)
- Practice address
- 53 Fairview St
Brattleboro, VT 05301-6630 - Phone
- (802) 490-2923
- NPI assigned
- Sep 21, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023016832 | MO | MD | General Practice Dentistry |
| 04950 | NH | MD | General Practice Dentistry |
| 016.0134056 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Point Dental-NH, PLLC | Past |
Accepting new patients | |
| True Point Dental, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2023016832 | MO | |
| General Practice Dentistry | 1223G0001X | 04950 | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 13751 | CT | |
| General Practice Dentistry | 1223G0001X | 016.0134056 | VT | Yes |
Addresses
Primary practice location
53 Fairview St
Brattleboro, VT 05301-6630
Mailing address
82 Crystal Brook Drive
Springfield, MA 01118-3755
Phone (917) 214-4343
Other practice location 1
410 S Main St
Concord, NH 03301-3483
Phone (603) 609-7467
Other providers in Brattleboro, VT
- Linda Reyman Heimerdinger
- Thomas Heisler
- Nina Rovinelli Heller
- Caroline Lee Henderson
- Travis Brett Henderson
- Taryn Heon
- Lynn W Herzog
- Hickorywood Health, LLC
- Diane Carol Hicks
- Rebecca Hill
All providers in Brattleboro, VT · General Practice Dentistry in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.