Individual
NICHOLAS CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6570 SHALLOWFORD RD, LEWISVILLE, NC 27023-8651
(336) 945-5555
Mailing address
97604 FRANKLIN RDG, CHAPEL HILL, NC 27517-8357
(908) 963-1885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11886
NC
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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