Johnny J. Hernandez, DDS

General Practice Dentistry · Bloomington, IL

Individual Active NPI

NPI number 1073636130

Practice location

10 Heartland Dr
Suite a
Bloomington, IL 61704-7741
Phone
(309) 662-0523
Fax
(309) 662-7693

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NPI record

NPI
1073636130
Entity type
Individual (Type 1)
Enumeration date
April 6, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

13715 Fawn Dr
Bloomington, IL 61704-7834
Phone
(309) 828-1110

About Dr. Hernandez

Johnny J. Hernandez, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10 Heartland Dr, Suite a, Bloomington, IL 61704-7741. The NPI number 1073636130 was assigned on April 6, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Johnny J. Hernandez, DDS?

The NPI number is 1073636130.

What is the phone number of Dr. Hernandez?

The phone number listed for the practice location is (309) 662-0523.

Where is Dr. Hernandez located?

10 Heartland Dr, Suite a, Bloomington, IL 61704-7741.

What is the taxonomy code for Dr. Hernandez?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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