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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN J CORCORAN, D.D.S.

Active

DR. GLEN J CORCORAN, D.D.S. is a Dentist healthcare provider located in MANDEVILLE, Louisiana. NPI 1588630198 is currently active in the NPPES registry. Verify at CMS.

Dentist · MANDEVILLE, LA

Registration Details

NPI Number
1588630198
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2006 (20.437089159038 yrs)
Last Updated
Jul 8, 2007
License
4477 (LA)

Practice Information

Address
3701 HIGHWAY 59
SUITE E
MANDEVILLE, LA, 704711905
Browse LA providers · Browse ZIP 70471
Phone
9858719733
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MANDEVILLE, LA

Name Credential NPI
DR. KAREN DYER SAACKS DDS 1124125646
DR. GERALD BRENT BROWN D. D. S. 1629161138
DR. JORGE PEDRO PERERA DDS 1578638839
DR. ASTRID ANN BRATCHER DDS 1891861654
DR. GREGG A MAY D.D.S. 1972679389
DR. CHARLES ANTHONY SCHOF JR. D.D.S. 1831232594
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.