IndividualActive
Cleon Henderson
NPI 1629420294 · Dental Assistant · Fort George G. Meade, MD
Provider details
- NPI number
- 1629420294
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
8476 Simonds Street
Ste 5700
Fort George G. Meade, MD 20755
Phone: (301) 677-6122
Fax: (301) 677-5710
Approximate (ZIP-level) locationGet directions
Mailing address
8476 Simonds Street
Fort George G. Meade, MD 20755
Registry dates
- Enumerated
- 2016-07-07
- Last updated
- 2016-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.