Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245293448 Deactivated / Inactive NPI Female Practitioner

Dr. Sandra Hernandez , DMD

Dentist - General Practice • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sandra Hernandez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2006
NPI Deactivation Date August 19, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Hernandez, DMD was a registered Dentist - General Practice practicing in Jacksonville, FL. Throughout an active medical career spanning 13 years, Dr. Hernandez provided care at the practice location at 2080 CHILD ST until profile deactivation on 2019-08-19.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 9042704460
Fax 9042704478
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PR 2125

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Franklin Hart , DDS

Dentist - Prosthodontics

NPI 1013979681

Doctor of Dental Surgery

Stephanie Lawler , CRDH

Dental Hygienist

NPI 1114615184
Dr. Anthony Davis , DDS

Dentist - General Practice

NPI 1184766545

Doctor of Dental Surgery

Amanda Kerlin , CRDH

Dental Hygienist

NPI 1336807130
Dr. Cecil White , DMD

Dentist - Periodontics

NPI 1487698528

Doctor of Dental Medicine

NPI 1598778904

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2019

Record deactivated on August 19, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9042704460)

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Updated Business Mailing Address July 08, 2007

Registered at 538 OKINAWA ST, JACKSONVILLE, FL 322271810 (Tel: 9042704480)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SANDRA HERNANDEZ, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2125 in PR)

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Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245293448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: July 08, 2007
Deactivation Date: August 19, 2019

Mailing Address

538 Okinawa St

Jacksonville, FL 322271810

Phone: 9042704480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.