Doctor Name: | DR. STEVEN J HERNANDEZ |
NPI Number: | 1275605040 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 20081 |
Business Practice Address: | 608 Gateway Central Ste 201 Marble Falls, TX - 786546356 |
Business Phone Number: | 8306937044 |
Business Fax Number: | 8306932069 |
Mailing Address: | 608 Gateway Central Ste 201, MARBLE FALLS |
State: | TX |
Postal Code: | 786546356 |
Phone Number: | 8306937044 |
Fax Number: | 8306932069 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 20081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |