DR. WALTER E HENDERSON D.D.S.
NPI 1013079656
Dentist - General Practice in Fayetteville, AR

Q: What is Walter Henderson's NPI number?

The NPI number for Walter Henderson is 1013079656. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Walter Henderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Walter Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2006

179 N CHURCH AVE, SUITE 102, FAYETTEVILLE, AR 72701(479) 442-6512(479) 442-7817 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Walter E Henderson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER E HENDERSON D.D.S. (NPI 1013079656) is an individual general practice provider in Fayetteville, Arkansas, licensed in Tennessee (2240) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1013079656

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WALTER E HENDERSONCredential: D.D.S.

Location Address179 N CHURCH AVE, SUITE 102Fayetteville, AR 72701

Mailing Address179 N Church Ave, Suite 102Fayetteville, AR 72701-5265 · (479) 442-6512 · Fax (479) 442-7817

Phone(479) 442-6512

Fax(479) 442-7817

Sole ProprietorYes

Enumeration DateDecember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013079656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 2240

Definition

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.

179 N CHURCH AVE, Fayetteville, AR 72701

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COREY INBODEN DDS, PLLC

Clinic/Center (Dental)

179 N CHURCH AVE
FAYETTEVILLE, AR 72701

Washington County (479) 442-6512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Henderson's NPI number?

The NPI number for Walter Henderson is 1013079656. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Walter Henderson located?

Walter Henderson practices at 179 N Church Ave Suite 102, Fayetteville, AR 72701. The listed phone number is (479) 442-6512.

What is Walter Henderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Walter Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.