Skip Navigation

Provider Information for 1508062498



DR. MICHAEL T HENRY DDS, MS, PA

Gender: MALE

Individual NPI: 1508062498

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1508062498
Enumeration Date 2007-06-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 10564 HIGHWAY 15-501 SUITE E
SOUTHERN PINES, NC 28387
United States

Phone: 910-692-7965 | Fax: 910-692-7977
View Map External Link
Primary Practice Address 10564 HIGHWAY 15-501 SUITE E
SOUTHERN PINES, NC 28387
United States

Phone: 910-692-7965 | Fax: 910-692-7977
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics NC 6540