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Ernst A. Cornielsen, DDS
Oral and Maxillofacial Surgery (Dentist) in Lake Geneva, Wisconsin
NPI 1447268651

Ernst A. Cornielsen is a Oral and Maxillofacial Surgery (Dentist) based in Lake Geneva, WI and is specialized in Oral and Maxillofacial Surgery. Ernst A. Cornielsen practices in Lake Geneva, WI and has the professional credentials of DDS. The NPI Number for Ernst A. Cornielsen is 1447268651 and holds a License No. 1732-G (Wisconsin).

The current practice location address for Ernst A. Cornielsen is 312 Center St, Lake Geneva, WI and can be reached out via phone at 262-248-2868 and via fax at 262-248-7274.

Location: 312 Center St, Lake Geneva, WI, 53147-3568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447268651
Provider Name
Ernst A. Cornielsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
312 Center St, Lake Geneva, WI, 53147-3568
Phone Number
262-248-2868
Fax Number
262-248-7274
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
312 Center St
City
Lake Geneva
State
Wisconsin
Zip
53147-1904
Phone Number
262-248-2868
Fax Number
262-248-7274
person
Provider Business Mailing Address Details
Address
312 Center St
City
Lake Geneva
State
Wisconsin
Zip
53147-1904
Phone Number
262-248-2868
Fax Number
262-248-7274
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1732-G (Wisconsin)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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