Cornelius Leon Dyson in Washington - Pediatric Dentistry
Cornelius Leon Dyson - NPI 1184615015
Cornelius Leon Dyson is a Pediatric Dentistry in Washington, New Jersey. Cornelius Leon Dyson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Cornelius Leon Dyson is 1184615015. The last update date is 2007-07-08.
Cornelius Leon Dyson's current location address is 134 Belvidere Ave, Washington, New Jersey. You can contact this provider via phone number 9088353500 and fax number 9088358846. The mailing address for Cornelius Leon Dyson is 134 Belvidere Ave, Washington, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cornelius Leon Dyson |
|---|---|
| Address | 134 Belvidere Ave, Washington, New Jersey |
| Phone Number | 9088353500 |
| Fax Number | 9088358846 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184615015 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 134 Belvidere Ave |
|---|---|
| City | Washington |
| State | New Jersey (NJ) |
| Post Code | 78821417 |
| Phone Number | 9088353500 |
| Fax Number | 9088358846 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DI217130 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code issued to Cornelius Leon Dyson by the Centers for Medicare & Medicaid Services?
The Cornelius Leon Dyson has been assigned the NPI (National Provider Identifier) 1184615015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Cornelius Leon Dyson is physically located?
The Cornelius Leon Dyson is physically situated at the following address: 134 Belvidere Ave, Washington, NJ, 78821417.
What is Cornelius Leon Dyson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cornelius Leon Dyson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Cornelius Leon Dyson receive its 1184615015 assignment from the Centers for Medicare & Medicaid Services?
The Cornelius Leon Dyson was assigned its 1184615015 by the Centers for Medicare & Medicaid Services on 2005-10-31.
When was the Cornelius Leon Dyson's information last updated?
The Cornelius Leon Dyson's information was last updated on 2007-07-08.