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HERNICK FAMILY DENTAL PLLC
NPI 1407636376
Clinic/Center - Dental in Bloomington, MN

Active since September 29, 2023
4220 W OLD SHAKOPEE RD STE 221, BLOOMINGTON, MN 55437(952) 881-0201 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hernick Family Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERNICK FAMILY DENTAL PLLC (NPI 1407636376) is a healthcare organization registered as a dental in Bloomington, Minnesota and active in the NPI registry since September 2023. The organization lists Jacoby Hernick, Owner, as its authorized official.

NPPES Registry Identity

NPI1407636376
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHERNICK FAMILY DENTAL PLLC
Location Address4220 W OLD SHAKOPEE RD STE 221Bloomington, MN 55437-2949
Mailing Address4200 W Old Shakopee Rd Ste 221Bloomington, MN 55437-2967
Phone(952) 881-0201
Organization SubpartNo
Authorized OfficialJacoby HernickOwner · (612) 532-0046
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1407636376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4220 W OLD SHAKOPEE RD STE 221, Bloomington, MN 55437
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hernick Family Dental PLLC's NPI number?

The NPI number for Hernick Family Dental PLLC is 1407636376. It was assigned to this organization in the NPPES registry on September 29, 2023.

Where is Hernick Family Dental PLLC located?

Hernick Family Dental PLLC is located at 4220 W Old Shakopee Rd Ste 221, Bloomington, MN 55437. The listed phone number is (952) 881-0201.

What is Hernick Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Hernick Family Dental PLLC was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.