Dr. Bryant Cornelius
Dentist Anesthesiologist Oral and Maxillofacial Surgeon
260 Tollgate Rd
Zelienople
, Pennsylvania 16063-3030
Dr. Bryant Cornelius
Dentist Anesthesiologist Oral and Maxillofacial Surgeon
260 Tollgate Rd
Zelienople
, Pennsylvania 16063-3030
(970) 260-8629
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About
Features
Specialties
- Dentist Anesthesiologist
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bryant Cornelius
- 260 Tollgate Rd
- Zelienople, PA
- Zip : 16063-3030
- Phone : (970) 260-8629
Second Address
- Dr. Bryant Cornelius
- 260 Tollgate Rd
- Zelienople, PA
- Zip : 16063-3030
- Phone : (970) 260-8629
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0004X | Dentist Anesthesiologist | 30.024998 | OH |
| N | 1223D0004X | Dentist Anesthesiologist | DS039600 | PA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 30024998 | OH |
National Provider Identifier
| NPI | 1417002973 |
|---|---|
| Provider Name | Dr. Bryant Cornelius |
| First Address | Zelienople, PA 16063-3030 |
| Second Address | Zelienople, PA 16063-3030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 18/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.