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

Dr. Michael Scott Henriksen, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689297962

Dr. Michael Scott Henriksen, DDS is a Student in an Organized Health Care Education/Training Program in Fresno, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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

1313 E Herndon Ave Ste 104
Fresno, CA 93720-3306
Phone: (559) 435-7993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 105633 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689297962
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address11234 Anderson St, Loma Linda, CA 92354-2804

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