| Rolin S Henry Dds Pllc | |
|
7900 Andrus Road Suite #2 Alexandria VA 22306-3167 | |
| (703) 780-4422 | |
| (703) 780-2722 |
| Full Name | Rolin S Henry Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 7900 Andrus Road, Alexandria, Virginia |
| Authorized Official Name and Position | Rolin S Henry (PRESIDENT OWNER) |
| Authorized Official Contact | 7037804422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolin S Henry Dds Pllc 7900 Andrus Road Suite #2 Alexandria VA 22306-3167 Ph: (703) 780-4422 | Rolin S Henry Dds Pllc 7900 Andrus Road Suite #2 Alexandria VA 22306-3167 Ph: (703) 780-4422 |
| NPI Number | 1235231408 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235231408 | NPI | - | NPPES |
| 0017156 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410508 (Virginia) | Primary |
| 122300000X | Dentist | DEN1000038 (District Of Columbia) | Secondary |
| 122300000X | Dentist | 12939 (Maryland) | Secondary |
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