Individual
DR. NEIL RICHARD CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6565 S YALE AVE, SUITE 1105, TULSA, OK 74136-8327
(918) 481-4949
Mailing address
6565 S YALE AVE, SUITE 1105, TULSA, OK 74136-8327
(918) 481-4949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6081
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17303533426
NPI2
—
Enumeration date
02/15/2009
Last updated
02/15/2009
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