NPI 1295958890 · live from the CMS NPI Registry
Gary Cornforth, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Jamestown, ND. National Provider Identifier 1295958890, active.
NPI record
| NPI | 1295958890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 406 1st Ave N, Jamestown, ND 58401 |
| Practice phone | 701-252-7050 |
| Enumerated | April 11, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 1504C (ND) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D11388 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.