Dr Martin Juan Hernandez, DDS | |
6650 Chippewa St, Saint Louis, MO 63109-2527 | |
(314) 457-0613 | |
Not Available |
Full Name | Dr Martin Juan Hernandez |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 6650 Chippewa St, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861083396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2023000828 (Missouri) | Secondary |
1223G0001X | Dentist - General Practice | 105907 (California) | Primary |
Entity Name | Momani Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215329487 PECOS PAC ID: 8325395932 Enrollment ID: O20180726003162 |
Mailing Address | Practice Location Address |
---|---|
Dr Martin Juan Hernandez, DDS 5852 Sandy Pointe Dr, Sarasota, FL 34233-3514 Ph: (941) 544-0146 | Dr Martin Juan Hernandez, DDS 6650 Chippewa St, Saint Louis, MO 63109-2527 Ph: (314) 457-0613 |
Dr. Raphael Ivan Williams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8515 Delmar Blvd, 217, Saint Louis, MO 63124 Phone: 314-993-8879 | |
Aaron Glenn Campbell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 77 W Port Plz Ste 367, Saint Louis, MO 63146 Phone: 314-434-4676 Fax: 314-434-6806 | |
Dr. Timothy Maher, DDS,MS Dentist Medicare: Medicare Enrolled Practice Location: 10777 Sunset Office Dr Ste 100, Saint Louis, MO 63127 Phone: 314-822-2210 | |
Dr. James Michael Hasik, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Dental Clinic, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Michael Edlin Jr., D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 8000 Bonhomme Ave, Suite 306, Saint Louis, MO 63105 Phone: 314-863-2222 Fax: 314-863-5225 | |
Dr. Eric J Aubert, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4527 Forest Park Ave, Saint Louis, MO 63108 Phone: 314-367-7200 Fax: 314-367-0508 | |
Dr. Elizabeth B Spataro, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 Francis Pl, #206, Saint Louis, MO 63105 Phone: 314-721-1660 |