National Provider Identifier

Tammy L Cornelius, RDH

Tammy L Cornelius, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1851755664Brockport, NYDental Hygienist

Profile Overview

NPI
1851755664
Provider Type
Individual
Primary Specialty
Dental Hygienist
Enumeration Date
April 07, 2016
Last Updated
April 07, 2016

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Specialties

  • Dental Hygienist (124Q00000X)
Full Record
NPI
1851755664
Entity Type
Individual
Last Name
Cornelius
First Name
Tammy
Middle Name
L
Credential
RDH
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-2375
Enumeration Date
April 07, 2016
Last Updated
April 07, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Hygienist (124Q00000X)