Dr. Walter A Henderson , DDS
Dentist - General Practice • Holts Summit, MO
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. Walter Henderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Walter Henderson, DDS was a registered Dentist - General Practice practicing in Holts Summit, MO. Throughout an active medical career spanning 17 years, Dr. Henderson provided care at the practice location at 320 S. SUMMIT DR. until profile deactivation on 2026-02-19.
Practice Location & Contact Primary Location
320 S. Summit Dr.
Holts Summit, MO 65043
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Holts Summit, MO
Practicing in Holts Summit, MO (2113 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 19, 2026
NPI status registered as active in NPPES database
Registered at 320 S. SUMMIT DR., HOLTS SUMMIT, MO 65043 (Tel: 5738965128)
Registered at 320 S. SUMMIT DR., HOLTS SUMMIT, MO 65043 (Tel: 5738965128)
Recorded as WALTER HENDERSON, DDS
Dentist (License #013112 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
320 S. Summit Dr.
Holts Summit, MO 65043
Phone: 5738965128
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