NPI

Bradley J Henkenius, DDS, PC

Doing business as Village Dental Care. Phone (928) 774-0181 · Fax (928) 774-7510 · NPI 1548737208

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2018-10-30
Last updated
2018-10-30

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
710 N Beaver St Bldg 1
City
Flagstaff AZ
Postal code
86001-3100
Phone
(928) 774-0181
Fax
(928) 774-7510

Organization contact

Name
Bradley Henkenius
Title
Owner/President
Phone
(928) 774-0181

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Clinic/Center, Dental providers in Flagstaff, AZ. 11 with this primary taxonomy in the public file.

Other NPIs in Flagstaff, AZ. 3,111 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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