Dr. Michael Dorn Hendrickson , DDS
Dentist - Endodontics • Tempe, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Hendrickson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michael Hendrickson, DDS was a registered Dentist - Endodontics practicing in Tempe, AZ. Throughout an active medical career spanning 14 years, Dr. Hendrickson provided care at the practice location at 2076 E SOUTHERN AVE until profile deactivation on 2020-09-30.
Practice Location & Contact Primary Location
2076 E Southern Ave
Suite C104
Tempe, AZ 852827520
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Endodontics in Tempe, AZ
Practicing in Tempe, AZ (152 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223E0200X
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 30, 2020
NPI status registered as active in NPPES database
Registered at 2076 E SOUTHERN AVE, SUITE C104, TEMPE, AZ 852827520 (Tel: 4808209774)
Registered at 2076 E SOUTHERN AVE, SUITE C104, TEMPE, AZ 852827520 (Tel: 4808209774)
Recorded as MICHAEL HENDRICKSON, DDS
Dentist (License #D2616 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2076 E Southern Ave, Suite C104
Tempe, AZ 852827520
Phone: 4808209774
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