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KATHERINE ANNE HENDERSON DMD
NPI 1861045924
Dentist - General Practice in Morton, IL

Active since July 18, 2019
1600 S 4TH AVE STE 110, MORTON, IL 61550(309) 263-2781 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2022, Jul 18, 2019 (2 updates tracked since 2019).

About Katherine Anne Henderson Dmd NPPES

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

KATHERINE ANNE HENDERSON DMD (NPI 1861045924) is an individual general practice provider in Morton, Illinois, licensed in Illinois (019.032249) and active in the NPI registry since July 2019. She maintains a secondary practice location in Tremont.

NPPES Registry Identity

NPI1861045924
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKATHERINE ANNE HENDERSONCredential: DMD
Location Address1600 S 4TH AVE STE 110Morton, IL 61550-3401
Mailing Address1600 S 4th Ave Ste 110Morton, IL 61550-3401 · (309) 263-2781
Phone(309) 263-2781
Sole ProprietorNo
Enumeration DateJuly 18, 2019
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1861045924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.032249
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.
1600 S 4TH AVE STE 110, Morton, IL 61550
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Secondary Practice Location 1

Location 1324 S James StTremont, IL 61568-8048 · Phone (309) 925-7851 · Fax (309) 925-2022

Other Providers at the Same Location NPPES 3

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

ERIKA KAY LONG D.D.S.
Dentist
1600 S 4TH AVE STE 110
MORTON, IL 61550
Tazewell County (309) 263-2781
SMALLTOWN DENTAL ON FOURTH LLC
Dentist (General Practice)
1600 S 4TH AVE STE 110
MORTON, IL 61550
Tazewell County (309) 263-2781
DR. SETH BRAKER DMD
Dentist (General Practice)
1600 S 4TH AVE STE 110
MORTON, IL 61550
Tazewell County (309) 263-2781

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 Katherine Henderson's NPI number?

The NPI number for Katherine Henderson is 1861045924. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Katherine Henderson located?

Katherine Henderson practices at 1600 S 4th Ave Ste 110, Morton, IL 61550. The listed phone number is (309) 263-2781.

What is Katherine 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 Katherine Henderson was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.