Glen J Corcoran is a Dentist in Mandeville, Louisiana. Glen J Corcoran practices all healthcare services and medical treatments related to Dentist. The NPI Number for Glen J Corcoran is 1588630198. The last update date is 2007-07-08.
Glen J Corcoran's current location address is 3701 Highway 59, Mandeville, Louisiana. You can contact this provider via phone number 9858719733. The mailing address for Glen J Corcoran is 3701 Highway 59, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glen J Corcoran |
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Address | 3701 Highway 59, Mandeville, Louisiana |
Phone Number | 9858719733 |
Fax Number | |
Sole Proprietor | X |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1588630198 |
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Provider Enumeration Date | 2006-02-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3701 Highway 59 |
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City | Mandeville |
State | Louisiana (LA) |
Post Code | 704711905 |
Phone Number | 9858719733 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 4477 |
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 |
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What is the unique provider identifier assigned to Glen J Corcoran?
The Glen J Corcoran has been issued the NPI (National Provider Identifier) 1588630198 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Glen J Corcoran is geographically located?
The Glen J Corcoran is physically situated at the following location: 3701 Highway 59, Mandeville, LA, 704711905.
What is Glen J Corcoran's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glen J Corcoran is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Glen J Corcoran receive its 1588630198 assignment from the Centers for Medicare & Medicaid Services?
The Glen J Corcoran was assigned its 1588630198 by the Centers for Medicare & Medicaid Services on 2006-02-23.
When was the information pertaining to Glen J Corcoran most recently updated or revised?
The details related to Glen J Corcoran, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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