Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrea Lynne Henderson, DDS, FACP

Individual provider Prosthodontics · NPI 1194072231

Dr. Andrea Lynne Henderson, DDS, FACP is a Prosthodontics in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
FACP — Fellow of the American College of Physicians
An internist admitted as a fellow of the ACP.

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Practice location Address checks out

11980 San Vicente Blvd Ste 918
Los Angeles, CA 90049-5012
Phone: (310) 826-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 61553 (CA)

Record details

NPI number1194072231
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , FACP
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESAugust 8, 2012

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