Jan K Cornelius is a Periodontics in Tampa, Florida. Jan K Cornelius practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jan K Cornelius is 1023148244. The last update date is 2007-07-08.
Jan K Cornelius's current location address is 2401 S Dale Mabry Hwy, Tampa, Florida. You can contact this provider via phone number 8132544568. The mailing address for Jan K Cornelius is 2401 S Dale Mabry Hwy, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan K Cornelius |
|---|---|
| Address | 2401 S Dale Mabry Hwy, Tampa, Florida |
| Phone Number | 8132544568 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023148244 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2401 S Dale Mabry Hwy |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336296845 |
| Phone Number | 8132544568 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12140 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code issued to Jan K Cornelius by the Centers for Medicare & Medicaid Services?
The Jan K Cornelius has been assigned the NPI (National Provider Identifier) 1023148244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jan K Cornelius?
The Jan K Cornelius is situated at 2401 S Dale Mabry Hwy, in the city of Tampa, state of FL, with the zip code 336296845.
What is Jan K Cornelius's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jan K Cornelius's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023148244 to Jan K Cornelius?
The Centers for Medicare & Medicaid Services assigned the 1023148244 to Jan K Cornelius on 2007-03-06.
As of what date was the information regarding Jan K Cornelius, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jan K Cornelius, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.