Provider Demographics
NPI:1245426659
Name:HERNAS, CARA (DMD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:HERNAS
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 1:408 ROSA RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-1701
Mailing Address - Country:US
Mailing Address - Phone:518-280-0230
Mailing Address - Fax:518-279-6323
Practice Address - Street 1:408 ROSA RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-1701
Practice Address - Country:US
Practice Address - Phone:518-280-0230
Practice Address - Fax:518-279-6323
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053596-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist