IndividualActive
Laurel Henderson, DDS
NPI 1205309648 · Oral Medicine Dentistry · Boston, MA
Provider details
- NPI number
- 1205309648
- Entity type
- Individual
- Primary specialty
- Oral Medicine DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 104477 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
725 Albany Street, 6th Floor
Suite 6a
Boston, MA 02118
Phone: (617) 358-6775
Fax: (617) 358-6781
Approximate (ZIP-level) locationGet directions
Mailing address
725 Albany Street, 6th Floor
Boston, MA 02118
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2025-07-07
- Certified
- 2025-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.