Noel P Kornett, DDS
Individual provider Active NPI General Practice Dentistry · Stuart, VA
NPI 1962402610 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1962402610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401005793 (VA)
- Practice address
- 113 W Blue Ridge St
Stuart, VA 24171-1577 - Phone
- (276) 694-3371
- Fax
- (276) 694-3930
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405000628 | VA | Order and Referring Only - Dentist |
8325345473 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401005793 | VA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401005793 | VA | Yes |
Addresses
Primary practice location
113 W Blue Ridge St
Stuart, VA 24171-1577
Mailing address
113 W Blue Ridge St
PO Box 312
Stuart, VA 24171-1577
Phone (276) 694-3371
Other providers in Stuart, VA
- Teresa Jetmar
- Shonda Jones
- Milbourne L Joye Jr.
- India Brooke Kahle
- Kam'S Corner, LLC
- Ralph Lewis Kramer
- Landmark Alf Operations LLC
- Landmark Transport LLC
- Tracy M Lange
- James A. Law
All providers in Stuart, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.