IndividualActive
Gary Henley, D.D.S.
NPI 1861481707 · General Practice Dentistry · Berkeley, MO
Provider details
- NPI number
- 1861481707
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 014443 (MO)
Specialties & taxonomies
Dental Providers
Practice location
6156 Evergreen Blvd
Berkeley, MO 63134-2108
Phone: (314) 522-1032
Fax: (314) 524-1292
Approximate (ZIP-level) locationGet directions
Mailing address
6156 Evergreen Blvd
Berkeley, MO 63134-2108
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2010-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.