Gary Cornforth in Jamestown - Orthodontics And Dentofacial Orthopedics

Gary Cornforth - NPI 1295958890

Gary Cornforth is a Orthodontics And Dentofacial Orthopedics in Jamestown, North Dakota. Gary Cornforth practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gary Cornforth is 1295958890. The last update date is 2007-07-08.

Gary Cornforth's current location address is 406 1st Ave N, Jamestown, North Dakota. You can contact this provider via phone number 7012527050 and fax number 7012511286. The mailing address for Gary Cornforth is 406 1st Ave N, Jamestown, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Cornforth
Address 406 1st Ave N, Jamestown, North Dakota
Phone Number 7012527050
Fax Number 7012511286
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1295958890
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 406 1st Ave N
City Jamestown
State North Dakota (ND)
Post Code 584013302
Phone Number 7012527050
Fax Number 7012511286

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 1504C
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41403 ND --

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FAQs about Gary Cornforth

What is the unique 10-digit identifier code assigned to Gary Cornforth by the Centers for Medicare & Medicaid Services?

The Gary Cornforth has been issued the NPI (National Provider Identifier) 1295958890 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Gary Cornforth's physical address?

The Gary Cornforth is physically located at 406 1St Ave N, in the city of Jamestown, ND, with the postal code 584013302.

What is the area of specialization for Gary Cornforth, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gary Cornforth is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did the Gary Cornforth receive its 1295958890 assignment from the Centers for Medicare & Medicaid Services?

The Gary Cornforth was assigned its 1295958890 by the Centers for Medicare & Medicaid Services on 2007-04-11.

As of what date was the information regarding Gary Cornforth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gary Cornforth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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