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

Jason David Henderson, DDS

Individual provider General Practice Dentistry · NPI 1093987216

Jason David Henderson, DDS is a General Practice Dentistry in Manlius, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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

8179 Cazenovia Rd
Manlius, NY 13104
Phone: (315) 682-2466
Fax: (315) 682-3179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 054488 (NY)

Record details

NPI number1093987216
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 27, 2008
Last updated in NPPESJune 13, 2012
Mailing address8179 Cazenovia Rd, Manlius, NY 13104-9778

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