Provider Demographics
NPI:1962250373
Name:HENRY & TRIPP PLLC
Entity type:Organization
Organization Name:HENRY & TRIPP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNEDI
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:910-995-3510
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-0667
Mailing Address - Country:US
Mailing Address - Phone:910-582-5707
Mailing Address - Fax:
Practice Address - Street 1:215 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-3321
Practice Address - Country:US
Practice Address - Phone:910-582-5707
Practice Address - Fax:910-582-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty