Individual provider · NPI-1
Dr. Jaime Michael Cernansky, D.M.D.
Dentist, Oral and Maxillofacial Surgery · Allentown, PA
NPI number1194987040
StatusActive
Last updated in NPPESApr 6, 2009
Details
- NPI
- 1194987040
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jaime Michael Cernansky
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2008
- Last updated
- Apr 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DS035911 | PA | Yes |
| 207L00000X | Anesthesiology | DA031627 | PA |
Practice location
1259 S Cedar Crest BlvdSuite 302
Allentown, PA 18103-6372
Phone 610-437-1727 · Fax 610-437-4715
Mailing address
1259 S Cedar Crest BlvdSuite 302
Allentown, PA 18103-6372
Phone 610-437-1727 · Fax 610-437-4715
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