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DIONNE NICOLE HENDERSON DDS
NPI 1053422758
Dentist - General Practice in South Holland, IL

Active since August 31, 2006
605 E 170TH ST, SOUTH HOLLAND, IL 60473(708) 893-0368(708) 893-0456 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dionne Nicole Henderson Dds NPPES

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

DIONNE NICOLE HENDERSON DDS (NPI 1053422758) is an individual general practice provider in South Holland, Illinois, licensed in Illinois (019023986) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053422758
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDIONNE NICOLE HENDERSONCredential: DDS
Location Address605 E 170TH STSouth Holland, IL 60473-3408
Mailing Address1959 E 166th PlSouth Holland, IL 60473-2666 · (248) 760-1856 · Fax (708) 895-2161
Phone(708) 893-0368
Fax(708) 893-0456
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 8, 2014
✔ NPI 1053422758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019023986✔ Licensed in MI · 2901017114
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.
605 E 170TH ST, South Holland, IL 60473
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Other Identifiers 1

Medicaid4231409MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

SMILES OF TOMORROW, LTD
Clinic/Center (Dental)
605 E 170TH ST
SOUTH HOLLAND, IL 60473
Cook County (773) 666-3153

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 Dionne Henderson's NPI number?

The NPI number for Dionne Henderson is 1053422758. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Dionne Henderson located?

Dionne Henderson practices at 605 E 170th St, South Holland, IL 60473. The listed phone number is (708) 893-0368.

What is Dionne Henderson's specialty?

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

What insurance does Dionne Henderson accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Dionne Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dionne Henderson was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.