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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.