DR. FERNANDEZ DENTAL OFFICE (NPI# 1134372196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134372196 |
| Entity Type | Organization |
| Organization Name | DR. FERNANDEZ DENTAL OFFICE |
| Other Organization Name | NO |
| Practice Address |
1640 Madison St Apt 1 Ridgewood NY 11385-3450 |
| Practice Telephone | 7184560751 |
| Practice Fax Number | 7184182407 |
| Mailing Telephone | 7184560751 |
| Mailing Fax Number | 7184182407 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DR. FRANKLIN FELIPE FERNANDEZ (GENERAL DENTIST) |
| Authorized Official Telephone | 7184560751 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
045733-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1134118581 | 01 |
| NPI | 1780744466 | 01 | |
| NY | NPI | 1417946583 | 01 |
| Other Name | Type Code |
|---|---|
| no | Former Legal Business Name - Organization |
| Street Address |
1640 MADISON ST APT 1 |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750945473 | Prospect Dental Care | Dentist | 145 Prospect St Ste 202, Ridgewood, NJ 07450-4493 | 2019-04-29 |
| 1831325430 | Lauren Kurpis Welch | Dentist | 545 Route 17, Ridgewood, NJ 07450-2097 | 2009-06-09 |
| 1962661421 | Laureen Anne Zubiaurre | Dentist | 360 W Ridgewood Ave, Ridgewood, NJ 07450-3627 | 2008-06-09 |
| 1346426897 | Dorota Gasior | Dentist | 1917 Woodbine St, Ridgewood, NY 11385-3801 | 2008-01-15 |
| 1538356662 | Min-hee A Cho | Dentist | 166 Franklin Ave, Ridgewood, NJ 07450-3206 | 2007-10-02 |
| 1790975399 | Peter Chin | Dentist | 6503 Fresh Pond Rd, Ridgewood, NY 11385-3332 | 2007-07-30 |
| 1467651513 | John George Stanescu | Dentist | 5915 Palmetto St, Ridgewood, NY 11385-3233 | 2007-07-17 |
| 1548473531 | Michel Mouravieff | Dentist | 525 N Maple Ave, Ridgewood, NJ 07450-1612 | 2007-05-07 |
| 1205052495 | Leo Tsing Shen | Dentist | 683 E Ridgewood Ave, Ridgewood, NJ 07450-3310 | 2007-04-17 |
| 1780809392 | Chin-chee Hu | Dentist | 354 Saint Nicholas Avenue, Suite 354, Ridgewood, NY 11385-2745 | 2007-04-17 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.