# FORT LAUDERDALE DMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922250703
- **Authorized official:** DR. ROLAND ANTHONY HERNANDEZ DDS (PRESIDENT)
- **Authorized official phone:** (954) 356-9956

## Contact information

- **Practice address:** 2000 S. ANDREWS AVENUE, FORT LAUDERDALE, FL 33316
- **Practice address phone:** (954) 356-9956
- **Practice address fax:** (954) 356-8120
- **Mailing address:** 2000 S. ANDREWS AVENUE, FORT LAUDERDALE, FL 33316
- **Mailing address phone:** (954) 356-9956
- **Mailing address fax:** (954) 356-8120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN16358 | FL | Yes |

## Other

- **Enumeration date:** 10/13/2008
- **Last updated:** 04/22/2021