Mario Hernadez, Dds, Inc in Lake Clarke Shores - Dental
Mario Hernadez, Dds, Inc - NPI 1417098260
Mario Hernadez, Dds, Inc is a Dental in Lake Clarke Shores, Florida. Mario Hernadez, Dds, Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Mario Hernadez, Dds, Inc is 1417098260. The last update date is 2016-02-18.
Mario Hernadez, Dds, Inc's current location address is 1870 Forest Hill Blvd, Lake Clarke Shores, Florida. You can contact this provider via phone number 5615855891 and fax number 5615866014. The mailing address for Mario Hernadez, Dds, Inc is 1870 Forest Hill Blvd, Lake Clarke Shores, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mario Hernadez, Dds, Inc |
|---|---|
| Address | 1870 Forest Hill Blvd, Lake Clarke Shores, Florida |
| Phone Number | 5615855891 |
| Fax Number | 5615866014 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Hernandez Mario |
| Credentials | DDS |
| Telephone Number | 5615855891 |
NPI Number Detail
| NPI Number | 1417098260 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2016-02-18 |
Provider Mailing Address Detail
| Address | 1870 Forest Hill Blvd |
|---|---|
| City | Lake Clarke Shores |
| State | Florida (FL) |
| Post Code | 334068901 |
| Phone Number | 5615855891 |
| Fax Number | 5615866014 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 13087 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
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What is the unique 10-digit identifier code issued to Mario Hernadez, Dds, Inc by the Centers for Medicare & Medicaid Services?
The Mario Hernadez, Dds, Inc has been assigned the NPI (National Provider Identifier) 1417098260 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mario Hernadez, Dds, Inc's physical address?
The Mario Hernadez, Dds, Inc is physically located at 1870 Forest Hill Blvd, in the city of Lake Clarke Shores, FL, with the postal code 334068901.
What is Mario Hernadez, Dds, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mario Hernadez, Dds, Inc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did Mario Hernadez, Dds, Inc receive its 1417098260 assignment from the Centers for Medicare & Medicaid Services?
The Mario Hernadez, Dds, Inc was assigned its 1417098260 on 2007-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mario Hernadez, Dds, Inc's details last updated?
The information pertaining to the Mario Hernadez, Dds, Inc, including its address, specialty, and other details, was most recently updated on 2016-02-18.
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