MEDICARE: DR. NILO ARTEMIO HERNANDEZ JR. 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	1223G0001X	General Practice Dentistry	DN 12716	FL

General Provider Information

NPI Number	:	1396748372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILO ARTEMIO HERNANDEZ JR. DDS

Provider Business Mailing Address
First Line	:	5185 CASTELLO DR STE 1
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34103-8903
Country	:	US
Telephone Number	:	239-564-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	987 HIGH POINT DR STE 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34103-3877
Country	:	US
Telephone Number	:	239-564-3100
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/28/2018

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Directions to “ DR. NILO ARTEMIO HERNANDEZ JR. DDS” Practice Location

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