Stephanie a. Cornejo, DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN15546 Issued in FL

Legal business name

STEPHANIE A. CORNEJO, DDS, PA

Practice address

1153 1St St S
Winter Haven, FL 33880-3902

Phone

(863) 299-6567

NPI assigned

Oct 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephanie Arrouet Cornejo, DDSNPI 1811086192

Title

President

Phone

(863) 299-6567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Arrouet Cornejo, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winter Haven, FL
  • NPI 1811086192
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912096256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "863-299-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "863-299-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE A. CORNEJO, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNEJO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ARROUET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-299-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN15546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wigglesworth Staudinger, NP
• Christopher John Stawiarz
• Julie Steele
• Kyle Anne Steenburg, AU.D.
• Stellarcare Group Inc
• Petra Kay Nicola Stephens-Ballard
• Lamoy Stephens
• Steps for Change Behavioral Healthcare
• William Enoch Sterling Jr., O.D.
• Steve Gee-Fong Wang D.M.D., P.a.

• Orthodontics and Dentofacial Orthopedics Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.