Johnny J Hernandez in Bloomington - General Practice
Johnny J Hernandez - NPI 1073636130
Johnny J Hernandez is a General Practice in Bloomington, Illinois. Johnny J Hernandez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Johnny J Hernandez is 1073636130. The last update date is 2007-07-08.
Johnny J Hernandez's current location address is 13715 Fawn Dr, Bloomington, Illinois. You can contact this provider via phone number 3098281110. The mailing address for Johnny J Hernandez is 13715 Fawn Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny J Hernandez |
|---|---|
| Address | 13715 Fawn Dr, Bloomington, Illinois |
| Phone Number | 3098281110 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073636130 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13715 Fawn Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617047834 |
| Phone Number | 3098281110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Johnny J Hernandez by the Centers for Medicare & Medicaid Services?
The Johnny J Hernandez has been assigned the NPI (National Provider Identifier) 1073636130. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Johnny J Hernandez located?
The Johnny J Hernandez is located at 13715 Fawn Dr, Bloomington, IL 617047834.
What is Johnny J Hernandez's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Johnny J Hernandez is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073636130 to Johnny J Hernandez?
The Johnny J Hernandez received its 1073636130 assignment from the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the Johnny J Hernandez's information last updated?
The Johnny J Hernandez's information was last updated on 2007-07-08.
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