Cornwall Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-027778-L Issued in PA

Legal business name

CORNWALL FAMILY DENTISTRY, LLC

Practice address

850 Norman Dr
Lebanon, PA 17042-7444

Phone

(717) 272-3079

Fax

(717) 228-1404

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard Koslowski, DMD

Title

Owner

Phone

(717) 272-3079

Specialties & licenses 1

Addresses

Other names 1

• Dr. Richard L. Koslowski, DMD Former legal business name

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1962868968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427444",
            "telephone_number": "717-272-3079",
            "fax_number": "717-228-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427444",
            "telephone_number": "717-272-3079",
            "fax_number": "717-228-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNWALL FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "KOSLOWSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-272-3079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-027778-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Richard L. Koslowski, DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lauren Elizabeth Corbitt
• Amber Shey Cornell, LSW
• Cornerstone Caregiving East LLC
• Cornerstone Dermatology, PC
• Sarah K Cornman, MT-BC
• Cornwall-Lebanon School District
• Carolina Correa, M.D., M.P.H.
• Michael Andrew Cotarla, D.O.
• Heather Cotignola-Pickens, PSYD
• James Cox, DMD

• General Practice Dentistry in Lebanon, PA
• Providers in Lebanon, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.