DR. CARLYLE PALMER CORNELL (NPI# 1437232907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437232907 |
| Entity Type | Individual |
| Full Name | DR. CARLYLE PALMER CORNELL |
| Credential | D.D.S. |
| Practice Address |
920 Glennerye Suite N Laguna Beach CA 92651-2740 |
| Mailing Address |
30822 Marilyn Dr. Lagina Beach CA 92651-2740 |
| Practice Telephone | 9494946581 |
| Practice Fax Number | 9494948016 |
| Mailing Telephone | 9494992893 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23812 | CA | Dental Providers |
| Street Address |
920 GLENNERYE SUITE N |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 92651-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1871154526 | Jinyi Bae | Psychiatry & Neurology | 31872 Coast Highway, Behavioral Health Unit, Laguna Beach, CA 92651 | 2019-06-24 |
| 1790348209 | Karen Veseth | Pharmacist | 30842 South Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-04-19 |
| 1629536602 | Briana Kim | Pharmacist | 30842 S Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-03-08 |
| 1295246288 | Priscilla Newton | Marriage & Family Therapist | 1427 Catalina, Laguna Beach, CA 92651 | 2017-10-17 |
| 1659723609 | Kassie Claughton | Social Worker | 1986 S Coast Hwy, Suite 1600, Laguna Beach, CA 92651 | 2016-07-01 |
| 1285029629 | Kathleen Susan Wenger | Counselor | 1550 South Pacific Coast Highway, #205, Laguna Beach, CA 92651 | 2015-04-02 |
| 1316350044 | Marcus D Yetter | Podiatrist | 31852 Coast Hwy Ste 105, Laguna Beach, CA 92651 | 2014-06-10 |
| 1891105854 | Connie Lee Bird | Social Worker | 332 Forest Ave #21, Laguna Beach, CA 92651 | 2014-04-30 |
| 1578989745 | Ana Maria Guerrero | Acupuncturist | 1100 South Coast Highway # 215, Laguna Beach, CA 92651 | 2014-03-12 |
| Find all providers in zip 92651 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396292116 | Juhee Park | Dentist | 610 N Coast Hwy Ste 110, Laguna Beach, CA 92651-1526 | 2016-09-09 |
| 1033356589 | Ken Garcia Dds, A Professional Corporation | Dentist | 444 Poplar St., Laguna Beach, CA 92651 | 2009-01-20 |
| 1962649905 | Elahe Abtahi | Dentist | 1094 Glenneyre St, Laguna Beach, CA 92651-2709 | 2009-01-13 |
| 1861643892 | William M Pivaroff | Dentist | 1094 Glenneyre, Laguna Beach, CA 92651 | 2008-10-08 |
| 1093964579 | Matthew John Miller | Dentist | 330 Park Ave Ste 6, Laguna Beach, CA 92651-2352 | 2008-09-09 |
| 1134334956 | Terry Crandall Robinson | Dentist | 665 Temple Hills Dr, Laguna Beach, CA 92651-2630 | 2007-05-14 |
| 1295853448 | George H. K. Bryant Dds Incorporated | Dentist | 32341 Coast Hwy, Laguna Beach, CA 92651-6701 | 2007-03-27 |
| 1295867273 | Joseph Richard Levingston | Dentist | 385 N Coast Hwy, Laguna Beach, CA 92651-0911 | 2007-03-12 |
| 1558491423 | Richard B. Sterling | Dentist | 401 Glenneyre St, Suite G, Laguna Beach, CA 92651-2401 | 2007-03-07 |
| 1942384680 | Barbara Hawthorne | Dentist | 380 Glenneyre Street, Ste E, Laguna Beach, CA 92651 | 2006-10-25 |
| Find all providers in LAGUNA BEACH | ||||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
Please comment or provide details below to improve the information on DR. CARLYLE PALMER CORNELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.