IndividualActive
David Henderson, DDS
NPI 1992820773 · Orthodontics and Dentofacial Orthopedics Dentistry · Bloomington, IN
Provider details
- NPI number
- 1992820773
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12007864A (IN)
Practice location
857 S Auto Mall Rd
Bloomington, IN 47401-5447
Phone: (812) 333-1051
Fax: (812) 333-8933
Mailing address
4611 Eagleview Dr
Bloomington, IN 47403-9043
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.