| Doctor Name: | DR. MICHAEL ALBERT MCHENRY |
| NPI Number: | 1134283278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 26896 DDS |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 Credentials Office Lackland A F B, TX - 782369908 |
| Business Phone Number: | 2102927395 |
| Business Fax Number: | |
| Mailing Address: | 1414 Fawn Hvn, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782481767 |
| Phone Number: | 2104792545 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 26896 DDS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |