ERNST A. CORNIELSEN D.D.S.
NPI 1447268651
Dentist - Oral and Maxillofacial Surgery in Lake Geneva, WI

Active since August 03, 2006
312 CENTER ST, LAKE GENEVA, WI 53147(262) 248-2868(262) 248-7274 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ernst A. Cornielsen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERNST A. CORNIELSEN D.D.S. (NPI 1447268651) is an individual oral and maxillofacial surgery provider in Lake Geneva, Wisconsin, licensed in Wisconsin (1732-G) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1447268651
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameERNST A. CORNIELSENCredential: D.D.S.
Location Address312 CENTER STLake Geneva, WI 53147-1904
Mailing AddressW3627 Wildwood DrLake Geneva, WI 53147-3568 · (262) 248-2868 · Fax (262) 248-7274
Fax(262) 248-7274
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1447268651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WI · 1732-G
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

312 CENTER ST, Lake Geneva, WI 53147

Other Identifiers 3

Medicare UPINT35306WI
Medicare ID-Type Unspecified76484WI
Medicare ID-Type Unspecified206370IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147
Dentist (Oral and Maxillofacial Surgery)
312 CENTER ST
LAKE GENEVA, WI 53147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447268651, enumerated as an "individual" on August 03, 2006.

The provider is located at 312 CENTER ST LAKE GENEVA, WI 53147 and the phone number is (262) 248-2868.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.