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Active NPI 1467941211 Individual Practitioner Female Practitioner

Dr. Jacoby Joanne Hernick , DDS

Dentist - General Practice • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jacoby Hernick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Cloud, MN. Practice services are available at 816 W SAINT GERMAIN ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

816 W Saint Germain St Ste 101

Saint Cloud, MN 563013511

Telephone 3202522454
Associated Practice Facility / Clinic
🏢 St. Cloud Family Dental Pllc Facility NPI 1699525915

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Saint Cloud, MN (2262 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

CMS Verified: 2020-09-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14481

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 1001932-15

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1801 W Wisconsin Ave

Milwaukee, WI 532332186

Phone: 4142883703

10000 Bay Pines Blvd

Bay Pines, FL 33744

Phone: 7273989396

6855 S 27th St

Franklin, WI 53132

Phone: 4144350787

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Alaina Hull , DDS

Dentist - General Practice

NPI 1447500186

Doctor of Dental Surgery

NPI 1457513616

Doctor of Dental Surgery

Dr. Thomas Peterson , DDS

Dentist - General Practice

NPI 1891806709

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 29, 2021

Registered at 816 W SAINT GERMAIN ST STE 101, SAINT CLOUD, MN 563013511 (Tel: 3202522454)

📍
Updated Business Mailing Address November 29, 2021

Registered at 1827 36TH ST S, SAINT CLOUD, MN 563014581 (Tel: 6125320046)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2021

Dentist (License #1001932-15 in WI)

📍
Updated Practice Location June 26, 2019

Registered at 6855 S 27TH ST, FRANKLIN, WI 53132 (Tel: 4144350787)

👤
Provider Name / Credentials Updated June 26, 2019

Recorded as JACOBY HERNICK, DDS

📍
Updated Practice Location February 28, 2019

Registered at 10000 BAY PINES BLVD, BAY PINES, FL 33744 (Tel: 7273989396)

📍
Updated Business Mailing Address February 28, 2019

Registered at 6880 16TH PL N APT 549, ST PETERSBURG, FL 337105304 (Tel: 6125320046)

NPI Profile Active May 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2018

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4142883703)

📍
Updated Business Mailing Address May 08, 2018

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4142883703)

👤
Provider Name / Credentials Updated May 08, 2018

Recorded as JACOBY HERNICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 08, 2018

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: 1467941211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2018
Last Update: November 29, 2021
Sole Proprietor: No

Mailing Address

1827 36th St S

Saint Cloud, MN 563014581

Phone: 6125320046

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.