Individual provider · Type 1 NPI

Nicole Hernandez, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Palm Harbor, FL

NPI number 1790050474 Active

Practice location

2711 Tampa Rd
Palm Harbor, FL 34684-3336

Mailing address

504 W Grand Central Ave Unit 814
Tampa, FL 33606-1978

Other practice locations

  • 347 Lexington Ave, Apt 3B, New York, NY 10016-0989 · (813) 751-5958

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN24840 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4 other providers at this address

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About NPI 1790050474

Nicole Hernandez, DDS, MD's National Provider Identifier is 1790050474, issued on Mar 14, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Palm Harbor, FL. The record was last updated on Aug 28, 2020.