| Oral Surgery Of Springfield | |
|
3237 E Sunshine St Ste B Springfield MO 65804-6919 | |
| (417) 881-4546 | |
| (417) 883-0443 |
| Full Name | Oral Surgery Of Springfield |
|---|---|
| Speciality | Dentist |
| Location | 3237 E Sunshine St Ste B, Springfield, Missouri |
| Authorized Official Name and Position | Frank A Cornella (OWNER) |
| Authorized Official Contact | 4178814546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Of Springfield 3237 E Sunshine St Ste B Springfield MO 65804-6919 Ph: (417) 881-4546 | Oral Surgery Of Springfield 3237 E Sunshine St Ste B Springfield MO 65804-6919 Ph: (417) 881-4546 |
| NPI Number | 1881033926 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 06/21/2013 |
| Medicare PECOS PAC ID | 7214955426 |
|---|---|
| Medicare Enrollment ID | O20051107000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881033926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Frank A Cornella |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356322838 PECOS PAC ID: 9739107947 Enrollment ID: I20051109000091 |
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