Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992792840 Individual Practitioner Male Practitioner

Dr. Mark William Henderson , DMD

Dentist - General Practice • Moody Afb, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Henderson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Moody Afb, GA. Practice services are available at 23D MEDICAL GROUP 3278 MITCHELL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23d Medical Group 3278 Mitchell Blvd

Moody Afb, GA 316991500

Telephone 2292571459

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moody Afb, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Moody Afb, GA (3302 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 AL 5078

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Jacob Freeze , DMD

Dentist - General Practice

NPI 1053949198

Doctor of Dental Medicine

Dr. Jordan Robbins , DMD

Dentist - General Practice

NPI 1083147367

Doctor of Dental Medicine

Lashaun Vetzel , PA-C

Physician Assistant - Medical

NPI 1194898635

Physician Assistant (Certified)

Dr. Clayton Lively , MD

Psychiatry & Neurology - Psychiatry

NPI 1407293418

Doctor of Medicine (M.D.)

Dr. Mark Coomes , MD

Anesthesiology

NPI 1629208145

Doctor of Medicine (M.D.)

Christopher Daniels , PA-C

Physician Assistant

NPI 1760711162

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 25, 2018

Registered at 23D MEDICAL GROUP 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292571459)

📍
Updated Business Mailing Address April 25, 2018

Registered at 23D MEDICAL GROUP 3278 MITCHELL BLVD, MOODY AFB, GA 316991500 (Tel: 2292571459)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 435 MDG, UNIT 3215, APO, AE 09094 (Tel: 01149637146)

📍
Updated Business Mailing Address July 08, 2007

Registered at 435 MDG, UNIT 3215, APO, AE 09094 (Tel: 01149637146)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK HENDERSON, DMD

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

Dentist (License #5078 in AL)

🟢
Initial NPI Registration & Enumeration October 05, 2005

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: 1992792840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: April 25, 2018
Sole Proprietor: No

Mailing Address

23d Medical Group 3278 Mitchell Blvd

Moody Afb, GA 316991500

Phone: 2292571459

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.