DR. MARK WILLIAM HENDERSON DMD
NPI 1992792840
Dentist - General Practice in Moody Afb, GA

Q: What is Mark Henderson's NPI number?

The NPI number for Mark Henderson is 1992792840. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Q: What is Mark Henderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Henderson was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 05, 2005

23D MEDICAL GROUP 3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-1459 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark William Henderson Dmd NPPES

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

DR. MARK WILLIAM HENDERSON DMD (NPI 1992792840) is an individual general practice provider in Moody Afb, Georgia, licensed in Alabama (5078) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1992792840

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK WILLIAM HENDERSONCredential: DMD

Location Address23D MEDICAL GROUP 3278 MITCHELL BLVDMoody Afb, GA 31699-1500

Mailing Address23d Medical Group 3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-1459

Phone(229) 257-1459

Sole ProprietorNo

Enumeration DateOctober 5, 2005

Last NPPES UpdateApril 25, 2018

✔ NPI 1992792840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AL · 5078

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.

23D MEDICAL GROUP 3278 MITCHELL BLVD, Moody Afb, GA 31699

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Other Providers at the Same Location NPPES

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

GEORGE A DEVITA

Physician Assistant (Medical)

23D MEDICAL GROUP 3278 MITCHELL BLVD
MOODY AFB, GA 31699

Lowndes County (315) 783-5876

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 Mark Henderson's NPI number?

The NPI number for Mark Henderson is 1992792840. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Mark Henderson located?

Mark Henderson practices at 23D Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-1459.

What is Mark 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 Mark Henderson was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.