Timothy A. Kornegay
Dentist - General Practice
427 N Causeway
New Smyrna Beach
, Florida 32169-5266
Timothy A. Kornegay
Dentist - General Practice
427 N Causeway
New Smyrna Beach
, Florida 32169-5266
(386) 428-2224
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Timothy A. Kornegay
- 427 N Causeway
- New Smyrna Beach, FL
- Zip : 32169-5266
- Fax : (386) 428-2224
- Phone : (386) 428-1270
Second Address
- Timothy A. Kornegay
- 427 N Causeway
- New Smyrna Beach, FL
- Zip : 32169-5266
- Fax : (386) 428-2224
- Phone : (386) 428-1270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 16763 | FL |
| Y | 213EG0000X | General Practice | 16763 | FL |
National Provider Identifier
| NPI | 1003916081 |
|---|---|
| Provider Name | Timothy A. Kornegay |
| First Address | New Smyrna Beach, FL 32169-5266 |
| Second Address | New Smyrna Beach, FL 32169-5266 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 05/08/2015 |
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.