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EDWARD ANTHONY HERNANDEZ DMD
NPI 1912634643
Dentist in Tooele, UT

Active since August 03, 2022
613 COUNTRY CLUB DR, TOOELE, UT 84074(208) 201-0354 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Apr 26, 2024, Jul 20, 2023 and 2 more (5 updates tracked since 2022).

About Edward Anthony Hernandez Dmd NPPES

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

EDWARD ANTHONY HERNANDEZ DMD (NPI 1912634643) is an individual dentist in Tooele, Utah, licensed in Utah (14286615-9926) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1912634643
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameEDWARD ANTHONY HERNANDEZCredential: DMD
Location Address613 COUNTRY CLUB DRTooele, UT 84074-9655
Mailing Address613 Country Club DrTooele, UT 84074-9655 · (208) 201-0354
Phone(208) 201-0354
Sole ProprietorNo
Enumeration DateAugust 3, 2022
Last NPPES UpdateMay 20, 20265 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1912634643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 14286615-9926
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
613 COUNTRY CLUB DR, Tooele, UT 84074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Edward Hernandez's NPI number?

The NPI number for Edward Hernandez is 1912634643. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Edward Hernandez located?

Edward Hernandez practices at 613 Country Club Dr, Tooele, UT 84074. The listed phone number is (208) 201-0354.

What is Edward Hernandez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Edward Hernandez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Edward Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Hernandez was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.