Healthcare Provider Details

I. General information

NPI: 1396890927
Provider Name (Legal Business Name): RHONDA H. CORMNEY D.M.D., P.S.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 HAMPTON WAY STE 1
RICHMOND KY
40475-8885
US

IV. Provider business mailing address

519 HAMPTON WAY STE 1
RICHMOND KY
40475-8885
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-7476
  • Fax: 859-623-7477
Mailing address:
  • Phone: 859-623-7476
  • Fax: 859-623-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number5330
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number5330
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: