MEDICARE: DR. PURNIMA HERNANDEZ SR. DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	DI01838200	NJ

General Provider Information

NPI Number	:	1568443406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PURNIMA HERNANDEZ SR. DDS

Provider Business Mailing Address
First Line	:	22 CONCORD AVE
Second Line	:
City	:	GLEN ROCK
State	:	NJ
Zip	:	07452-1601
Country	:	US
Telephone Number	:	201-796-4111
Fax Number	:	201-796-4119

Provider Business Practice Location Address
First Line	:	22 CONCORD AVE
Second Line	:
City	:	GLEN ROCK
State	:	NJ
Zip	:	07452-1601
Country	:	US
Telephone Number	:	201-796-4111
Fax Number	:	201-796-4119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992357263 — NINA KASSER SIDELL
Practice Location Address:

1601 HEARD DR
MAPLE GLEN, PA
19002-3163

Practice Phone: 215-628-0282
Practice Fax:

1043957137 — EVOLVE RESIDENTIAL LLC
Practice Location Address:

6305 CAROLINA AVE
GLEN BURNIE, MD
21061-1601

Practice Phone: 443-548-3733
Practice Fax:

1245029438 — EVOLVE RESIDENTIAL LLC
Practice Location Address:

6305A CAROLINA AVE
GLEN BURNIE, MD
21061-1601

Practice Phone: 410-548-3733
Practice Fax:

1902797376 — EVOLVE RESIDENTIAL LLC
Practice Location Address:

6305A CAROLINA AVE
GLEN BURNIE, MD
21061-1601

Practice Phone: 443-548-3733
Practice Fax:

1316168693 — DR. MICHAEL A. SHANNON D.D.S., M.S.
Practice Location Address:

1601 MILL ROCK WAY
BAKERSFIELD, CA
93311-1315

Practice Phone: 949-573-5654
Practice Fax:

1730160797 — ANTHONY G. CHING
Practice Location Address:

1601 MILL ROCK WAY
BAKERSFIELD, CA
93311-1315

Practice Phone: 661-833-0101
Practice Fax: 661-397-9547

Directions to “ DR. PURNIMA HERNANDEZ SR. DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.