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DR. ANDREA LYNNE HENDERSON D.D.S, F.A.C.P
NPI 1194072231
Dentist - Prosthodontics in Los Angeles, CA

Active since August 08, 2012
11980 SAN VICENTE BLVD, SUITE 918, LOS ANGELES, CA 90049(310) 826-6535 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrea Lynne Henderson D.d.s, F.a.c.p NPPES

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

DR. ANDREA LYNNE HENDERSON D.D.S, F.A.C.P (NPI 1194072231) is an individual prosthodontics provider in Los Angeles, California, licensed in California (61553) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1194072231
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameDR. ANDREA LYNNE HENDERSONCredential: D.D.S, F.A.C.P
Location Address11980 SAN VICENTE BLVD, SUITE 918Los Angeles, CA 90049-5012
Mailing Address11980 San Vicente Blvd, Ste 918Los Angeles, CA 90049-5012 · (310) 826-6535
Phone(310) 826-6535
Sole ProprietorNo
Enumeration DateAugust 8, 2012
✔ NPI 1194072231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 61553
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049
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Other Providers at the Same Location NPPES 20

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

DR. DIANA MARCELA MEDINA DDS
Dentist (Oral and Maxillofacial Surgery)
11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049
Los Angeles County (310) 820-6691
JESSICA SANCHEZ MFT
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Los Angeles County (424) 293-6679
DR. HOPE W LEVIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Los Angeles County (310) 494-0108
DR. CAROL ANN MAYHEW PH.D.
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Los Angeles County (310) 207-9902
DR. ANURADHA GOMATHY SESHADRI M.D.
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Los Angeles County (310) 208-7777
REGINA PALLY M.D.
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Los Angeles County (310) 820-2700
ARCHANA M REDDY MD
Family Medicine
11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049
Los Angeles County (310) 208-7777
ALAN SPIVAK
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049
Los Angeles County (310) 826-1494

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 Andrea Henderson's NPI number?

The NPI number for Andrea Henderson is 1194072231. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Andrea Henderson located?

Andrea Henderson practices at 11980 San Vicente Blvd Suite 918, Los Angeles, CA 90049. The listed phone number is (310) 826-6535.

What is Andrea Henderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Andrea Henderson was last updated on August 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.