Hernandez, Anthony R
Hernandez, Anthony R is an individual health care provider with primary practice located at 5116 American Family Dr , Madison WI 53718-8331. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Hernandez, Anthony R can be contacted via phone (608) 825-7500.Contact Information
Primary practice address
5116 American Family Dr
Madison WI 53718-8331
Phone: (608) 825-7500
Fax: (608) 825-0010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 0005488 | Wisconsin |
Profile Details
| NPI number | 1972614154 |
|---|---|
| LBN Legal business name | Hernandez, Anthony R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 12th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972614154 | NPPES |
| Wisconsin | MEDICAID | 33774400 |
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