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Provider Information for 1528133386

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. PERCY LESLIE TORKORNOO DDS

Gender: MALE

Individual NPI: 1528133386

Calendar   Last Updated:  2017-12-15
  Certification Date: 

Details

Name Value
NPI 1528133386
Enumeration Date 2006-11-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3989 COLONEL GLENN HWY STE A
BEAVERCREEK, OH 45324-2099
United States

Phone: 937-426-2400 | Fax: 937-426-2400
View Map External Link
Primary Practice Address 3989 COLONEL GLENN HWY STE A
BEAVERCREEK, OH 45324-2099
United States

Phone: 614-275-0080 | Fax: 614-275-0804
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist OH 30022493
No 122300000X - Dentist TX 0023658
No 1223G0001X - Dentist General Practice KS 60243