Deborah Jill Corliss in Pembroke Pines - Dentist

Deborah Jill Corliss - NPI 1306069695

Deborah Jill Corliss is a Dentist in Pembroke Pines, Florida. Deborah Jill Corliss practices all healthcare services and medical treatments related to Dentist. The NPI Number for Deborah Jill Corliss is 1306069695. The last update date is 2007-07-08.

Deborah Jill Corliss's current location address is 18217 Pines Blvd, Pembroke Pines, Florida. You can contact this provider via phone number 9547040506 and fax number 9544417616. The mailing address for Deborah Jill Corliss is 18217 Pines Blvd, Pembroke Pines, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah Jill Corliss
Address 18217 Pines Blvd, Pembroke Pines, Florida
Phone Number 9547040506
Fax Number 9544417616
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1306069695
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 18217 Pines Blvd
City Pembroke Pines
State Florida (FL)
Post Code 330291417
Phone Number 9547040506
Fax Number 9544417616

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN14403
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN14403 FL DENTAL LICENSE

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FAQs about Deborah Jill Corliss

What is the unique identifier code issued to Deborah Jill Corliss by the Centers for Medicare & Medicaid Services?

The Deborah Jill Corliss has been assigned the NPI (National Provider Identifier) 1306069695. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Deborah Jill Corliss is geographically located?

The Deborah Jill Corliss is physically situated at the following location: 18217 Pines Blvd, Pembroke Pines, FL, 330291417.

What is Deborah Jill Corliss's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Deborah Jill Corliss's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date was the 1306069695 assigned to Deborah Jill Corliss?

The Deborah Jill Corliss was issued its 1306069695 on 2007-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Deborah Jill Corliss, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Deborah Jill Corliss, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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