Cornelius Maurice Pryor | Las Vegas, NV • PECOS Search

Cornelius Maurice Pryor

Dentist

Dental Providers

3824 Cool Meadows Dr, Las Vegas, NV 89129-6872

PECOS Enrollment

Based on the most recent information from CMS, provider Cornelius Maurice Pryor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205046281
Provider Type
Individual
Full Name
Pryor, Cornelius Maurice
Title
Dr.
Credential
D.D.S.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/22/2007
Last Updated
12/21/2025

Contact Information

Practice Location

3824 Cool Meadows Dr, Las Vegas, NV 89129-6872

Unlisted Fax

Mailing Location

4139 2nd Ave, Los Angeles, CA 90008-4001

(702) 307-1305

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 7957 Nevada
Code 122300000X	Description Dentist Dental Providers	License 35538 California