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Nicole Hernandez, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Palm Harbor, Florida
NPI 1790050474

Nicole Hernandez is a Oral and Maxillofacial Surgery (Dentist) based in Tampa, FL and is specialized in Oral and Maxillofacial Surgery. Nicole Hernandez practices in Palm Harbor, FL and has the professional credentials of DDS,MD. The NPI Number for Nicole Hernandez is 1790050474 and holds a License No. (Florida).

The current practice location address for Nicole Hernandez is 2711 Tampa Rd, Palm Harbor, FL and can be reached out via phone at 727-786-1631.

Location: 2711 Tampa Rd, Palm Harbor, FL, 33606-1978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790050474
Provider Name
Nicole Hernandez
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Female
Address
2711 Tampa Rd, Palm Harbor, FL, 33606-1978
Phone Number
727-786-1631
Fax Number
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2711 Tampa Rd
City
Palm Harbor
State
Florida
Zip
34684-3336
Phone Number
727-786-1631
Fax Number
person
Provider Business Mailing Address Details
Address
2711 Tampa Rd
City
Palm Harbor
State
Florida
Zip
34684-3336
Phone Number
727-786-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN24840 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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