Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851455117 Individual Practitioner Male Practitioner

Dr. Stephen M Henry , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Henry, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 4615 PHILIPS HWY STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4615 Philips Hwy Ste 3

Jacksonville, FL 322079506

Telephone 9045080710
Fax 8552997010
Associated Practice Facility / Clinic
🏢 Can Community Health, Inc. Facility NPI 1881261105

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN14864

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
024032400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Dana Barnes , MD

Family Medicine

NPI 1013178581

Doctor of Medicine (M.D.)

NPI 1033530852
Katherine Rogers , NP

Nurse Practitioner - Family

NPI 1033589544

Nurse Practitioner

NPI 1134238892

Doctor of Dental Surgery

Shaunetra Toler , ARNP

Nurse Practitioner - Family

NPI 1225576499

Advanced Registered Nurse Practitioner

Terri Stamper

Nurse Practitioner - Family

NPI 1710778048

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 10, 2019

Registered at 4615 PHILIPS HWY STE 3, JACKSONVILLE, FL 322079506 (Tel: 9045080710)

📍
Updated Business Mailing Address October 10, 2019

Registered at 4440 FRUITVILLE RD, SARASOTA, FL 342321926 (Tel: 9413660134)

📍
Updated Practice Location May 31, 2018

Registered at 4615 PHILIPS HWY STE 200, JACKSONVILLE, FL 32207 (Tel: 9045080710)

📍
Updated Business Mailing Address May 31, 2018

Registered at 1231 N TUTTLE AVE, SARASOTA, FL 342373116 (Tel: 9413660134)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 117 NE HWY 351, CROSS CITY, FL 32628 (Tel: 3524987001)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2059, CROSS CITY, FL 326282059 (Tel: 3524987001)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN HENRY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN14864 in FL)

🟢
Initial NPI Registration & Enumeration December 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851455117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2006
Last Update: October 10, 2019
Sole Proprietor: No

Mailing Address

4440 Fruitville Rd

Sarasota, FL 342321926

Phone: 9413660134

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.