Hernandez, Andrea Tantengco

Hernandez, Andrea Tantengco is an individual health care provider with primary practice located at 1121 W Michigan St , Indianapolis IN 46202-5211. She recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Prosthodontics is her primary health care specialty. Hernandez, Andrea Tantengco can be contacted via phone (317) 702-2058.

Contact Information

Primary practice address
1121 W Michigan St Indianapolis IN 46202-5211
Phone: (317) 702-2058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X LDR200264 Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LDR200264 Indiana

Profile Details

NPI number 1043959042
LBN Legal business name Hernandez, Andrea Tantengco
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2022
Last updated May 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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