Kevin a Henner,DMD,PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KEVIN A HENNER,DMD,PC

Doing business as

Henner Dental Associates

Practice address

163 Half Hollow Road
Suite One
Deer Park, NY 11729

Phone

(631) 667-2820

Fax

(631) 667-3133

NPI assigned

Sep 25, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jkevin Andrew Henner, DMD

Title

Owner

Phone

(631) 667-2820

Specialties & licenses 1

Addresses

Other names 1

• Henner Dental Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlene Marie Allocca, RDH

  • Dental Hygienist
  • Deer Park, NY
  • NPI 1912002411
  NPD (past)
• Kevin Andrew Henner, DMD

  • General Practice Dentistry
  • Deer Park, NY
  • NPI 1174623573
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801996202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HALF HOLLOW ROAD",
            "address_2": "SUITE ONE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11729",
            "telephone_number": "631-667-2820",
            "fax_number": "631-667-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HALF HOLLOW ROAD",
            "address_2": "SUITE ONE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11729",
            "telephone_number": "631-667-2820",
            "fax_number": "631-667-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN A HENNER,DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENNER",
        "authorized_official_first_name": "JKEVIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-667-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henner Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Keller, PSY.D.
• Georgia Kelly-Williams
• Thomas Donald Kempton, PH.D.
• Gerard Kennedy
• Kenneth a. Paticoff, DDS, PC
• Cyril Khan Jr., COTA
• Kiran Khan, RD
• Syed Khan, PHARM D
• Monica Kharat, MD
• Kids First Evaluation and Advocacy Center

• Dentist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Dentist in New York

• 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.

Verify at the official NPI Registry.