Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAURO CORREA JR., D.M.D.
Active Sole ProprietorDR. MAURO CORREA JR., D.M.D. is a General Dentistry healthcare provider located in FT JACKSON, South Carolina. NPI 1063760213 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FT JACKSON, SC
Registration Details
- NPI Number
- 1063760213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2012 (13.975279704514 yrs)
- Last Updated
- Sep 23, 2019
- Licenses
-
22DI02506700 (NJ)FC3508124 (NJ)9466 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4323 HILL STREETUSA DENTAL HEALTH ACTIVITYFT JACKSON, SC, 292076022Browse SC providers · Browse ZIP 29207
- Phone
- 8037516209
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Endodontics
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.