Jessica Lillie Corcoran in Waverly - General Practice
Jessica Lillie Corcoran - NPI 1093844573
Jessica Lillie Corcoran is a General Practice in Waverly, Iowa. Jessica Lillie Corcoran practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessica Lillie Corcoran is 1093844573. The last update date is 2020-05-01.
Jessica Lillie Corcoran's current location address is 121 20th St Nw, Waverly, Iowa. You can contact this provider via phone number 3193525281 and fax number 3193520509. The mailing address for Jessica Lillie Corcoran is 121 20th St Nw, Waverly, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jessica Lillie Corcoran |
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Address | 121 20th St Nw, Waverly, Iowa |
Phone Number | 3193525281 |
Fax Number | 3193520509 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1093844573 |
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Provider Enumeration Date | 2007-03-02 |
Last Updated Date | 2020-05-01 |
Provider Mailing Address Detail
Address | 121 20th St Nw |
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City | Waverly |
State | Iowa (IA) |
Post Code | 50677 |
Phone Number | 3193525281 |
Fax Number | 3193520509 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 8339 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1728550 | IA | -- | |
728550 | IA | -- |
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What is the unique 10-digit identifier code assigned to Jessica Lillie Corcoran by the Centers for Medicare & Medicaid Services?
The Jessica Lillie Corcoran has been issued the NPI (National Provider Identifier) 1093844573 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jessica Lillie Corcoran?
The Jessica Lillie Corcoran is situated at 121 20Th St Nw, in the city of Waverly, state of IA, with the zip code 50677.
What is the area of specialization for Jessica Lillie Corcoran, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessica Lillie Corcoran is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did the Jessica Lillie Corcoran receive its 1093844573?
The Jessica Lillie Corcoran was issued its 1093844573 on 2007-03-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jessica Lillie Corcoran most recently updated or revised?
The information pertaining to Jessica Lillie Corcoran, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-01.