Provider Demographics
NPI:1174412134
Name:HERNANDEZ, DABNEY (DMD)
Entity type:Individual
Prefix:DR
First Name:DABNEY
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1998 KATY MILLS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4101
Mailing Address - Country:US
Mailing Address - Phone:832-437-6477
Mailing Address - Fax:
Practice Address - Street 1:1998 KATY MILLS BLVD STE D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4101
Practice Address - Country:US
Practice Address - Phone:832-437-6477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX416371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice