DR. MACKENZIE SUE HENRY DDS
NPI 1023767217
Dentist - Oral and Maxillofacial Surgery in Scranton, PA
About Dr. Mackenzie Sue Henry Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MACKENZIE SUE HENRY DDS (NPI 1023767217) is an individual oral and maxillofacial surgery provider in Scranton, Pennsylvania, licensed in Pennsylvania (1023767217) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Danville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mackenzie Sue Henry Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mackenzie Henry's NPI number?
The NPI number for Mackenzie Henry is 1023767217. It was assigned to this individual provider in the NPPES registry on March 23, 2022.
Where is Mackenzie Henry located?
Mackenzie Henry practices at 300 Lackawanna Ave Unit 107, Scranton, PA 18503. The listed phone number is (570) 343-4472.
What is Mackenzie Henry's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Mackenzie Henry enrolled in Medicare?
Yes. Mackenzie Henry is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mackenzie Henry was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Dr. Mackenzie Sue Henry, DDS · NPI 1023767217
Oral and Maxillofacial Surgery provider in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1023767217 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 1023767217 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LACKAWANNA AVE UNIT 107, Scranton, PA 18503-2001
- **Phone:** (570) 343-4472
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023767217) · Data from the CMS NPPES public registry.