Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Laurel Kelsey Alyssa Henderson, DDS

Individual provider Orofacial Pain Dentistry · NPI 1205309648

Dr. Laurel Kelsey Alyssa Henderson, DDS is an Oral Surgery in Boston, Massachusetts. Graduated from University of South Carolina School of Medicine in 2013, 13 years ago. Practices with Trustees of Boston University, a 42-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of South Carolina School of Medicine
Licensed in
CA
In the registry since
2019
Specialties on file
2
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.

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Practice location Address checks out

725 Albany Street 6th Fl Ste 6A
Boston, MA 02118
Phone: (617) 358-6775
Fax: (617) 358-6781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral Medicine Dentistry (primary) Taxonomy 125Q00000X · Licence 104477 (CA)
Orofacial Pain Dentistry Taxonomy 1223X2210X · Licence 104477 (CA)

Record details

NPI number1205309648
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Trustees Of Boston University — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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