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Dr. Cornelius Joseph Osullivan
General Practice Dentistry in Lakewood, Ohio
NPI 1467076034

Cornelius Joseph Osullivan is a General Practice Dentistry based in Lakewood, OH and is specialized in General Practice. Cornelius Joseph Osullivan practices in Lakewood, OH. The NPI Number for Cornelius Joseph Osullivan is 1467076034 and holds a License No. 30.026159 (Ohio).

The current practice location address for Cornelius Joseph Osullivan is 13616 Madison Ave, Lakewood, OH and can be reached out via phone at 216-221-1438.

Location: 13616 Madison Ave, Lakewood, OH, 44107-1214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467076034
Provider Name
Cornelius Joseph Osullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
13616 Madison Ave, Lakewood, OH, 44107-1214
Phone Number
216-221-1438
Fax Number
Provider Enumeration Date
05/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13616 Madison Ave
City
Lakewood
State
Ohio
Zip
44107-4709
Phone Number
216-221-1438
Fax Number
person
Provider Business Mailing Address Details
Address
13616 Madison Ave
City
Lakewood
State
Ohio
Zip
44107-4709
Phone Number
216-221-1438
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30.026159 (Ohio)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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