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

Dr. Stephanie Reeder Henley, MD, DMD

Individual provider General Practice Dentistry · NPI 1093821647

Dr. Stephanie Reeder Henley, MD, DMD is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4100 Southpoint Dr E Ste 5
Jacksonville, FL 32216-8710
Phone: (904) 565-1505
Fax: (904) 565-1506
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Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DN 16425 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN 16425 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN16425 (FL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence ME113042 (FL)
Surgery Physician Taxonomy 208600000X · Licence ME113042 (FL)

Record details

NPI number1093821647
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , DMD
Sole proprietorYes
NPI enumeratedAugust 23, 2006
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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