Healthcare Provider Details

I. General information

NPI: 1770414542
Provider Name (Legal Business Name): AMY HERNANDEZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16900 E QUINCY AVE STE B
AURORA CO
80015-6131
US

IV. Provider business mailing address

6676 N NEPAL ST
AURORA CO
80019-2420
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-4488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206658
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: