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NPI Code Detail

MEDICARE: LEON ARTHUR CERNIWAY D.M.D.

MEDICARE:   LEON ARTHUR CERNIWAY  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401006590VA

General Provider Information

NPI Number : 1376631648
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEON ARTHUR CERNIWAY D.M.D.
Provider Business Mailing Address
First Line : 680 KINGSBOROUGH SQUARE
Second Line : SUITE A
City : CHESAPEAKE
State : VA
Zip : 23320-4988
Country : US
Telephone Number : 757-547-9339
Fax Number : 757-547-3433
Provider Business Practice Location Address
First Line : 680 KINGSBOROUGH SQUARE
Second Line : SUITE A
City : CHESAPEAKE
State : VA
Zip : 23320-4988
Country : US
Telephone Number : 757-547-9339
Fax Number : 757-547-3433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 12/03/2009

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Directions to “ LEON ARTHUR CERNIWAY D.M.D.” Practice Location

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