Provider Demographics
NPI:1891886990
Name:HERNANDEZ, FRANK P (DMD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10125 W COLONIAL DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761
Mailing Address - Country:US
Mailing Address - Phone:407-294-7558
Mailing Address - Fax:407-294-5402
Practice Address - Street 1:10125 W COLONIAL DR
Practice Address - Street 2:SUITE 208
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761
Practice Address - Country:US
Practice Address - Phone:407-294-7558
Practice Address - Fax:407-294-5402
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN147461223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics