Dr Shaun Henderson, DMD in Kirtland, NM - Dentist

Dr Shaun Henderson, DMD is a Dentist based in Kirtland, New Mexico. Dr Shaun Henderson is licensed to practice in New Mexico (license number DD4700) and his current practice location is 3 Road 6523, Kirtland, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 598-6800.

NPI number for Dr Shaun Henderson is 1982133849 and his current mailing address is 3 Road 6523, Kirtland, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982133849.

Contact Information

	Dr Shaun Henderson, DMD
	3 Road 6523, Kirtland, NM 87417-9452
	(505) 598-6800
	Not Available

Healthcare Provider's Profile

Full Name	Dr Shaun Henderson
Gender	Male
Speciality	Dentist
Location	3 Road 6523, Kirtland, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1982133849
Provider Enumeration Date: 06/05/2017
Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Dr Shaun Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982133849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DD4700 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shaun Henderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shaun Henderson, DMD 3 Road 6523, Kirtland, NM 87417-9452 Ph: (505) 598-6800	Dr Shaun Henderson, DMD 3 Road 6523, Kirtland, NM 87417-9452 Ph: (505) 598-6800

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Dentist in Kirtland, NM

Cody Burnell Coleman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 County Road 6523, Kirtland, NM 87417 Phone: 505-598-6800
Taylor Clark, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3 Road 6523, Kirtland, NM 87417 Phone: 505-598-6800
Dr. Jared Michael Southwell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 Road 6523, Kirtland, NM 87417 Phone: 505-598-6800 Fax: 505-598-6830
Michael Darais, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 County Road 6523, Kirtland, NM 87417 Phone: 505-598-6800
Bruce Brondon Shaheen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: #3 Cr 6523, Sundance Dental Care Of Kirtland, Kirtland, NM 87417 Phone: 505-598-6800 Fax: 505-598-6830
Dr. Chris John Giblette, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: #3 Cr 6523, Kirtland, NM 87417 Phone: 505-598-6800

Dr Shaun Henderson, DMD - Dentist in Kirtland, NM