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BRENT CORNELIUS DDS PA
NPI 1891713863
Dentist - General Practice in Keller, TX

Active since July 18, 2006
123 KELLER PKWY STE 100, KELLER, TX 76248(817) 431-4200 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Cornelius Dds Pa NPPES

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

BRENT CORNELIUS DDS PA (NPI 1891713863) is a healthcare organization registered as a general practice in Keller, Texas and active in the NPI registry since July 2006. The organization lists Brent Cornelius, President, as its authorized official.

NPPES Registry Identity

NPI1891713863
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRENT CORNELIUS DDS PA
Location Address123 KELLER PKWY STE 100Keller, TX 76248-2255
Mailing Address123 Keller Pkwy Ste 100Keller, TX 76248-2255 · (817) 431-4200
Phone(817) 431-4200
Organization SubpartNo
Authorized OfficialBrent CorneliusPresident · (817) 431-4200
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 17, 2019
✔ NPI 1891713863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 19334
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
123 KELLER PKWY STE 100, Keller, TX 76248
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. SARA CAMILA BUSTOS DMD
Dentist
123 KELLER PKWY STE 100
KELLER, TX 76248
Tarrant County (817) 562-9015
JESSICA BREE GEURKINK DDS
Dentist
123 KELLER PKWY STE 100
KELLER, TX 76248
Tarrant County (501) 448-0032
SKY CREEK DENTAL
Clinic/Center (Dental)
123 KELLER PKWY STE 100
KELLER, TX 76248
Tarrant County (817) 431-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Cornelius Dds PA's NPI number?

The NPI number for Brent Cornelius Dds PA is 1891713863. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Brent Cornelius Dds PA located?

Brent Cornelius Dds PA is located at 123 Keller Pkwy Ste 100, Keller, TX 76248. The listed phone number is (817) 431-4200.

What is Brent Cornelius Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brent Cornelius Dds PA was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.