# FRANK A. CORNELLA DDS, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral Surgery of Springfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881033926
- **Authorized official:** DR. FRANK A CORNELLA DDS,MD (OWNER)
- **Authorized official phone:** (417) 881-4546

## Contact information

- **Practice address:** 3237 E SUNSHINE ST STE B, SPRINGFIELD, MO 65804-6919
- **Practice address phone:** (417) 881-4546
- **Practice address fax:** (417) 883-0443
- **Mailing address:** 3237 E SUNSHINE ST STE B, SPRINGFIELD, MO 65804-6919
- **Mailing address phone:** (417) 881-4546
- **Mailing address fax:** (417) 883-0443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 06/21/2013