- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 718-920-4321
- Fax
- —
- Last updated
- October 17, 2024
Willan Francisco Jumbo Cueva is a Dentist, Orthodontics and Dentofacial Orthopedics based in Bronx, NY. Willan Francisco Jumbo Cueva practices in Bronx, NY and has the professional credentials of DMD. The NPI Number for Willan Francisco Jumbo Cueva is 1730647900 and holds a License No. 13386 (CT). The current practice location address for Willan Francisco Jumbo Cueva is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-4321.
Provider Profile Details
- NPI Number
- 1730647900
- Provider Name
- Willan Francisco Jumbo Cueva
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 718-920-4321
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 6, 2019
- Last Update Date
- October 17, 2024
- Certification Date
- October 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 718-920-4321
Provider Business Mailing Address Details
- Address
- 157 Delancy St
Newark, NJ 07105-1923 - City
- Newark
- State
- NJ
- Zip
- 07105-1923
License Information
- License Number (1)
- 13386
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (2)
- 22DI02891100
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Willan F Jumbo Cueva, DMD?
The NPI number of Willan F Jumbo Cueva, DMD is 1730647900. It was assigned on March 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Willan F Jumbo Cueva, DMD?
Willan F Jumbo Cueva, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in CT under license number 13386.
Where does Willan F Jumbo Cueva, DMD practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-4321 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730647900 directly on the NPPES registry website.