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

DR. GERALD ROGER CORCORAN, DDS

Active Sole Proprietor

DR. GERALD ROGER CORCORAN, DDS is a Dentist healthcare provider located in DE FOREST, Wisconsin. NPI 1851554521 is currently active in the NPPES registry. Verify at CMS.

Dentist · DE FOREST, WI

Registration Details

NPI Number
1851554521
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2008 (18.081806183957 yrs)
Last Updated
Jul 3, 2008
License
2412 (WI)
Sole Proprietor
Yes

Practice Information

Address
210 N MAIN ST
SUITE 103
DE FOREST, WI, 535321163
Browse WI providers · Browse ZIP 53532
Phone
6088463948
Fax
6088467526
Primary Specialty
Dentist
122300000X

Other Dentist Providers in DE FOREST, WI

Name Credential NPI
DR. DARRYL R VEIT DDS 1083754196
DR. ERIC G FEIEREISEN DDS 1619017712
DR. ZACHARY SCOTT MCCALLUM D.D.S. 1528267911
DR. ERIN H. WASZCZYK D.D.S. 1790970424
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.