Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861045924 Individual Practitioner Female Practitioner

Dr. Katherine Anne Henderson , DMD

Dentist - General Practice • Morton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Henderson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Morton, IL. Practice services are available at 1600 S 4TH AVE STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 S 4th Ave Ste 110

Morton, IL 615503401

Telephone 3092632781
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Morton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Morton, IL (5581 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

CMS Verified: 2022-06-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032249

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.

Secondary Practice Locations

324 S James St

Tremont, IL 615688048

Phone: 3099257851

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1154536563

Doctor of Dental Surgery

Dr. Gary Long , DDS

Dentist - General Practice

NPI 1417176348

Doctor of Dental Surgery

Dr. Peter Smidt , DDS

Dentist - General Practice

NPI 1598170771

Doctor of Dental Surgery

Dr. Seth Braker , DMD

Dentist - General Practice

NPI 1619606522

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 07, 2022

Registered at 1600 S 4TH AVE STE 110, MORTON, IL 615503401 (Tel: 3092632781)

📍
Updated Business Mailing Address June 07, 2022

Registered at 1600 S 4TH AVE STE 110, MORTON, IL 615503401 (Tel: 3092632781)

NPI Profile Active July 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2019

Registered at 324 S JAMES ST, TREMONT, IL 615688048 (Tel: 3099257851)

📍
Updated Business Mailing Address July 18, 2019

Registered at PO BOX 89, TREMONT, IL 615680089 (Tel: 3099257851)

👤
Provider Name / Credentials Updated July 18, 2019

Recorded as KATHERINE HENDERSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Dentist (License #019.032249 in IL)

🟢
Initial NPI Registration & Enumeration July 18, 2019

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: 1861045924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2019
Last Update: June 07, 2022
Sole Proprietor: No

Mailing Address

1600 S 4th Ave Ste 110

Morton, IL 615503401

Phone: 3092632781

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.