Gonzalo E Hernandez is a Appleton, Wisconsin based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Gonzalo E Hernandez is 4564-015 for Pediatric Dentistry in Wisconsin. His current practice location is 2612 E Calumet St, Appleton. Patients can reach him at 920-739-6808.
Gonzalo E Hernandez provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Gonzalo E Hernandez speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Gonzalo E Hernandez
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
2612 E Calumet St, Appleton, Wisconsin, 54915-4104
Phone:
920-739-6808
Fax:
920-730-7353
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1447292537
NPI Enumeration Date:
12 Jun, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gonzalo E Hernandez are as mentioned below.
License Number
Specialization
State
Status
4564-015
Pediatric Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gonzalo E Hernandez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33718600
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2612 E Calumet St, Appleton, Wisconsin
Zip:
54915-4104
Phone Number:
920-739-6808
Fax Number:
920-730-7353
Patients can reach Gonzalo E Hernandez at 2612 E Calumet St, Appleton, Wisconsin or can call to book an appointment on 920-739-6808. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.