Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos J Huergo, DMD

Individual provider Dentist · NPI 1205404456

Carlos J Huergo, DMD is a Dentist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9898 Roosevelt Blvd Ste 107
Philadelphia, PA 19115-1730
Phone: (267) 691-5048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS043188 (PA)

Record details

NPI number1205404456
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

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