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Active NPI 1497961338 Individual Practitioner Female Practitioner

Dr. Kelli Henderson , DDS

Dentist • Lawrence, KS

Professional Overview & Biography Verified Profile Summary

Dr. Kelli Henderson, DDS is a registered healthcare professional specializing in Dentist in Lawrence, KS. Practice services are available at 1425 WAKARUSA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1425 Wakarusa Dr
Suite D

Lawrence, KS 660493832

Telephone 4057066611
Associated Practice Facility / Clinic
🏢 Thomas A. Rainbolt, Dds,p.a. Facility NPI 1881750602

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lawrence, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Lawrence, KS (638 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 5743

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License KS 60453

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Brent Wood , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023119187

Doctor of Dental Surgery

NPI 1194038539

Doctor of Dental Surgery

Dr. Edward Manda , DDS

Dentist - General Practice

NPI 1275634917

Doctor of Dental Surgery

Dr. John Wulfkuhle , DDS

Dentist - General Practice

NPI 1396844361

Doctor of Dental Surgery

Dr. Thomas Rainbolt , DDS

Dentist - General Practice

NPI 1780783829

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1425 WAKARUSA DR, SUITE D, LAWRENCE, KS 660493832 (Tel: 4057066611)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1425 WAKARUSA DR, SUITE D, LAWRENCE, KS 660493832

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLI HENDERSON, D.D.S.

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

Dentist (License #5743 in OK)

🟢
Initial NPI Registration & Enumeration May 15, 2007

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: 1497961338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

1425 Wakarusa Dr, Suite D

Lawrence, KS 660493832

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.