Hernandez, Edward Anthony
Hernandez, Edward Anthony is an individual health care provider with primary practice located at 613 Country Club Dr , Tooele UT 84074-9655. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hernandez, Edward Anthony can be contacted via phone (208) 201-0354.Contact Information
Primary practice address
613 Country Club Dr
Tooele UT 84074-9655
Phone: (208) 201-0354
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14286615-9926 | Utah |
Profile Details
| NPI number | 1912634643 |
|---|---|
| LBN Legal business name | Hernandez, Edward Anthony |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2022 |
| Last updated | May 20th, 2026 - about 5 months 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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