Hernandez, Carlos
Hernandez, Carlos is an individual health care provider with primary practice located at 275 Nichols Rd , Fitchburg MA 01420-1919. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hernandez, Carlos can be contacted via phone (978) 878-8300.Contact Information
Primary practice address
275 Nichols Rd
Fitchburg MA 01420-1919
Phone: (978) 878-8300
Fax: (978) 665-5808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10465 | Massachusetts |
Profile Details
| NPI number | 1720224454 |
|---|---|
| LBN Legal business name | Hernandez, Carlos |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2008 |
| Last updated | Dec 31st, 2008 - about 16 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 | 1720224454 | NPPES |
| Massachusetts | MEDICAID | 1320815 |
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