Hernandez-Gil, Jose A
Hernandez-Gil, Jose A is an individual health care provider with primary practice located at 4577 S 4000 W , West Valley City UT 84120-6222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hernandez-Gil, Jose A can be contacted via phone (808) 966-0900.Contact Information
Primary practice address
4577 S 4000 W
West Valley City UT 84120-6222
Phone: (808) 966-0900
Fax: (801) 966-5046
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | CSDT-14 | Hawaii |
Dental Providers / General Practice | 1223G0001X | DD 1927 | New Mexico |
Profile Details
NPI number | 1740416379 |
---|---|
LBN Legal business name | Hernandez-Gil, Jose A |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2009 |
Last updated | Feb 7th, 2014 - about 10 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 | 1740416379 | NPPES |
Utah | Other | 8677334-9922 | UTAH DENTAL LICENSE |
Utah | Other | DD1927 | UTAH DENTAL LICENSE |
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