National Provider Identifier Database

MAURO CORREA JR, DMD – NPI #1063760213
General Practice

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.


Contact Information

MAURO CORREA JR, DMD
4323 HILL STREET
USA DENTAL HEALTH ACTIVITY
FORT JACKSON, SC29207-6022
Phone: 803-751-6209
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dentist 122300000X
Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for MAURO CORREA JR

NPI Number 1063760213
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/20/2012
Last updated 09/23/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 22DI02506700
  • NJ License #: FC3508124
  • SC License #: 9466
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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