| Hernandez Dental Care | |
|
9204 Taylorsville Rd Ste 119 Louisville KY 40299-1788 | |
| (502) 451-3931 | |
| (502) 451-3933 |
| Full Name | Hernandez Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9204 Taylorsville Rd Ste 119, Louisville, Kentucky |
| Authorized Official Name and Position | Mitchell Hernandez (DENTIST/OWNER) |
| Authorized Official Contact | 5024513931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernandez Dental Care 9204 Taylorsville Rd Ste 119 Louisville KY 40299-1788 Ph: (502) 451-3931 | Hernandez Dental Care 9204 Taylorsville Rd Ste 119 Louisville KY 40299-1788 Ph: (502) 451-3931 |
| NPI Number | 1922521285 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922521285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8817 (Kentucky) | Primary |
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