MEDICARE: ALYSSA MIA CORNEJO DMD

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
1	122300000X	Dentist	30.027555	OH

General Provider Information

NPI Number	:	1699529164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA MIA CORNEJO DMD

Provider Business Mailing Address
First Line	:	14141 CEDAR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3209
Country	:	US
Telephone Number	:	216-382-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	14141 CEDAR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3209
Country	:	US
Telephone Number	:	216-382-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2024
Last Update Date	:	05/21/2024

Similar Medicare Providers

1265170880 — BRIANA ISROFF DDS
Practice Location Address:

14141 CEDAR RD
SOUTH EUCLID, OH
44121-3209

Practice Phone: 216-382-6600
Practice Fax:

1275789695 — PRIME TOUCH INC
Practice Location Address:

609 S EUCLID AVE
BAY CITY, MI
48706-3209

Practice Phone: 989-391-9975
Practice Fax:

1942537105 — DR. DINA FIXLER DMD
Practice Location Address:

14141 CEDAR RD
CLEVELAND, OH
44121-3209

Practice Phone: 216-214-4933
Practice Fax: 866-408-0133

1699034421 — UNIVERSITY HEIGHTS DENTAL - DINA FIXLER DMD, LLC
Practice Location Address:

14141 CEDAR RD STE 200
CLEVELAND, OH
44121-3209

Practice Phone: 216-382-6600
Practice Fax: 216-382-5066

1992765986 — WESTERN WASHINGTON ENDOSCOPY CENTERS LLC
Practice Location Address:

3209 SOUTH 23RD ST , 2ND FLOOR
TACOMA, WA
98405

Practice Phone: 253-272-5127
Practice Fax: 253-272-0811

1972722825 — RX CARE OF LA INC
Practice Location Address:

202 SOUTH AVE , STE A
VIVIAN, LA
71082-3209

Practice Phone: 318-375-3784
Practice Fax: 318-375-5009

Directions to “ ALYSSA MIA CORNEJO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.