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Contact Information

RICHARD Y HERNANDEZ, DDS
9097 E DESERT COVE AVE
SUITE 240
SCOTTSDALE, AZ85260-6279
 Phone: 480-661-6541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

Dentist

122300000X
 

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for RICHARD Y HERNANDEZ · (Male)

NPI # 1194019638
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/01/2011
Last updated 03/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # D009285
  • MN Medicaid ENROLLED
  • MN Other P01198325 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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