IndividualActive
Ellyse Henkle, DMD
NPI 1396631297 · General Practice Dentistry · Macomb, IL
Ellyse Henkle, DMD is a General Practice Dentistry provider in Macomb, IL (NPI 1396631297).
Provider details
- NPI number
- 1396631297
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019.036154 (IL)
Practice location
1200 W Jackson St
Macomb, IL 61455-1194
Phone: (309) 836-6688
Street-level locationGet directions
Mailing address
536 Meadow Dr
Macomb, IL 61455-9320
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.