BRAXTON M HENDERSON DMD PA
NPI 1154902021
Dentist - Dentist Anesthesiologist in Greensboro, NC

Q: What is Braxton M Henderson Dmd PA's NPI number?

The NPI number for Braxton M Henderson Dmd PA is 1154902021. It was assigned to this organization in the NPPES registry on April 21, 2021. The provider is doing business as Southern Office-Based Anesthesia.

Q: What is Braxton M Henderson Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Active since April 21, 2021

2643 RANDLEMAN RD, GREENSBORO, NC 27406(252) 213-8484 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Braxton M Henderson Dmd Pa NPPES

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

BRAXTON M HENDERSON DMD PA (NPI 1154902021), doing business as Southern Office-based Anesthesia, is a healthcare organization registered as a dentist anesthesiologist in Greensboro, North Carolina and active in the NPI registry since April 2021. The organization lists Braxton M Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1154902021

Entity TypeOrganization

Primary Taxonomy1223D0004X

Legal Business NameBRAXTON M HENDERSON DMD PA

Location Address2643 RANDLEMAN RDGreensboro, NC 27406-5153

Mailing Address316 Main StOxford, NC 27565-3323 · (901) 493-7721

Phone(252) 213-8484

Organization SubpartNo

Authorized OfficialBraxton M HendersonPresident · (901) 493-7721

Enumeration DateApril 21, 2021

NPPES CertifiedApril 21, 2021

✔ NPI 1154902021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

2643 RANDLEMAN RD, Greensboro, NC 27406

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Other Names 1

Doing Business AsSouthern Office-based Anesthesia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

DR. HAMZA AHMED DMD

Dentist (General Practice)