Dan B. Henry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6824 Issued in FL

Practice address

4627 N Davis Hwy
Building a
Pensacola, FL 32503-2338

Phone

(850) 477-1120

Fax

(850) 477-1062

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

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.

• Pensacola Patriot Dental PLLC

  dba Patriot Dental

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1629742226
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932279122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 N DAVIS HWY",
            "address_2": "BUILDING A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032338",
            "telephone_number": "850-477-1120",
            "fax_number": "850-477-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 N DAVIS HWY",
            "address_2": "BUILDING A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032338",
            "telephone_number": "850-477-1120",
            "fax_number": "850-477-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Henn, LBA, BCBA
• Cheri N Hennessey, RPH
• Henry Chiropractic PLLC (Dr. Craig Henry)
• Henry F. Pruett, Jr., D.D.S., P.a.
• Allyson Lee Henry, ARNP
• Frederick Conrad Henry, M.D.
• Holly J Henry, APRN
• Jason Lemarr Henry, M.D.
• Kendall Henry, PA-C
• Kheri-Ann K Henry, MD

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• 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.