npidexNPI registry + Medicare data

BRENT HENRIKSEN, M.D., D.D.S.

Oral and Maxillofacial Surgery (Dentist) · SIOUX FALLS, SD

Individual Active Opted out of Medicare NPI 1821118480

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓6428NE
Oral and Maxillofacial Surgery (Dentist)1223S0112XD0814SD

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2014-06-28 through 2028-06-28.

Other Oral and Maxillofacial Surgery (Dentist) providers in South Dakota

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.