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Deactivated NPI 1124175211 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Larry Henderson , DMD

Dentist • West Liberty, KY

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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. Robert Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2007
NPI Deactivation Date December 25, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Henderson, DMD was a registered Dentist practicing in West Liberty, KY. Throughout an active medical career spanning 18 years, Dr. Henderson provided care at the practice location at 903 MAIN ST until profile deactivation on 2025-12-25.

Practice Location & Contact Primary Location

Practice Address

903 Main St

West Liberty, KY 414721023

Telephone 6067437711
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in West Liberty, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
3 Specialists

Practicing in West Liberty, KY (1101 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 KY 4449

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 25, 2025

Record deactivated on December 25, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 903 MAIN ST, WEST LIBERTY, KY 414721023 (Tel: 6067437711)

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Updated Business Mailing Address July 08, 2007

Registered at 903 MAIN ST, WEST LIBERTY, KY 414721023 (Tel: 6067437711)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT HENDERSON, D.M.D.

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

Dentist (License #4449 in KY)

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Initial NPI Registration & Enumeration January 04, 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: 1124175211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: July 08, 2007
Deactivation Date: December 25, 2025

Mailing Address

903 Main St

West Liberty, KY 414721023

Phone: 6067437711

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.