Provider Demographics
NPI:1114440260
Name:H. E. HENRY, DDS, INC
Entity Type:Organization
Organization Name:H. E. HENRY, DDS, INC
Other - Org Name:H. E. HENRY, DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-723-7200
Mailing Address - Street 1:200 SAINT THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3844
Mailing Address - Country:US
Mailing Address - Phone:304-723-7200
Mailing Address - Fax:304-723-4460
Practice Address - Street 1:200 SAINT THOMAS DR
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3844
Practice Address - Country:US
Practice Address - Phone:304-723-7200
Practice Address - Fax:304-723-4460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty