Provider Demographics
NPI:1720134976
Name:MCHENRY, DONNEL MITCHEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNEL
Middle Name:MITCHEL
Last Name:MCHENRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2730
Mailing Address - Country:US
Mailing Address - Phone:717-263-3316
Mailing Address - Fax:717-263-4983
Practice Address - Street 1:858 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2730
Practice Address - Country:US
Practice Address - Phone:717-263-3316
Practice Address - Fax:717-263-4983
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0178861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice