Dr. John Maack Henricksen , DDS
Dentist - General Practice • Chehalis, WA
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. John Henricksen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Henricksen, DDS was a registered Dentist - General Practice practicing in Chehalis, WA. Throughout an active medical career spanning 18 years, Dr. Henricksen provided care at the practice location at 1292 S MARKET BLVD until profile deactivation on 2024-07-10.
Practice Location & Contact Primary Location
1292 S Market Blvd
Chehalis, WA 985323645
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Chehalis, WA
Practicing in Chehalis, WA (3345 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery, Master of Science
Career & Practice History Timeline
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Record deactivated on July 10, 2024
NPI status registered as active in NPPES database
Registered at 1292 S MARKET BLVD, CHEHALIS, WA 985323645 (Tel: 3607484481)
Registered at 1292 S MARKET BLVD, CHEHALIS, WA 985323645 (Tel: 3607484481)
Recorded as JOHN HENRICKSEN, DDS
Dentist (License #DE00003948 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1292 S Market Blvd
Chehalis, WA 985323645
Phone: 3607484481
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