National Provider Identifier Database

JESSICA L CORCORAN, DDS – NPI #1093844573
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

JESSICA L CORCORAN, DDS
121 20TH ST NW
WAVERLY, IA50677
Phone: 319-352-5281
Fax: 319-352-0509
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JESSICA L CORCORAN

NPI Number 1093844573
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/02/2007
Last updated 05/01/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 08339
  • IA Medicaid: 0728550
  • IA Medicaid: 1728550
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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