IndividualActive
Stephanie Henley, MD, D.M.D.
NPI 1093821647 · Oral & Maxillofacial Surgery (D.M.D.) · Jacksonville, FL
Provider details
- NPI number
- 1093821647
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN 16425 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Dental Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4100 Southpoint Dr E Ste 5
Jacksonville, FL 32216-8710
Phone: (904) 565-1505
Fax: (904) 565-1506
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Southpoint Dr E Ste 5
Jacksonville, FL 32216-8710
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.