IndividualActive
Andre Henriques, DDS
NPI 1700877438 · Prosthodontics · Danville, IL
Provider details
- NPI number
- 1700877438
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 044564-1 (NY)
Specialties & taxonomies
Dental Providers
Practice location
1900 E Main St
Danville, IL 61832-5100
Phone: (719) 400-9031
Approximate (ZIP-level) locationGet directions
Mailing address
4849 Katelyn Dr
Indianapolis, IN 46228-7019
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.