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Dr. Mauro Correa JR.

Dentist Endodontist Dentist - General Practice

4323 Hill Street Usa Dental Health Activity
Ft Jackson , South Carolina 29207-6022

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Dr. Mauro Correa JR.

Dentist Endodontist Dentist - General Practice

4323 Hill Street Usa Dental Health Activity
Ft Jackson , South Carolina 29207-6022

(253) 968-4029

Write a Review Save Call

Dr. Mauro Correa JR.

Dentist Endodontist Dentist - General Practice

4323 Hill Street Usa Dental Health Activity
Ft Jackson , South Carolina 29207-6022

(253) 968-4029 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Endodontist
  • General Practice

Languages spoken

  • English

Location

4323 Hill Street Usa Dental Health Activity Ft Jackson , South Carolina 29207-6022

First Address

  • Dr. Mauro Correa JR.
  • 9900 Lincoln St Fl 2 Usa Dental Activity
  • Tacoma, WA
  • Zip : 98431-0001
  • Phone : (253) 968-4029

Second Address

  • Dr. Mauro Correa JR.
  • 4323 Hill Street Usa Dental Health Activity
  • Ft Jackson, SC
  • Zip : 29207-6022
  • Phone : (803) 751-6209

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FAQs


Where did Dr. Mauro Correa JR. attend graduate school?

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Where did Dr. Mauro Correa JR. do his residency?

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Where did Dr. Mauro Correa JR. do his fellowship?

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Is Dr. Mauro Correa JR. board certified?

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What type of doctor is Dr. Mauro Correa JR.

Dentist - General Practice

In what state does Dr. Mauro Correa JR. practice in?

South Carolina

Where is Dr. Mauro Correa JR.’s practice located?

4323 Hill Street Usa Dental Health Activity , Ft Jackson, South Carolina, 29207-6022

What is Dr. Mauro Correa JR.’s gender?

Male

Is Dr. Mauro Correa JR. a sole practitioner?

No

Is Dr. Mauro Correa JR. accepting new patients?

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What languages does Dr. Mauro Correa JR. speak?

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Does Dr. Mauro Correa JR. accept insurance?

Yes, Dr. Mauro Correa JR. accepts insurance

Does Dr. Mauro Correa JR. offers telemedicine?

Dr. Mauro Correa JR. has not indicated if he offers telemedicine

What is Dr. Mauro Correa JR.’s professional license number?

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What is Dr. Mauro Correa JR.’s NPI number?

1063760213

Does Dr. Mauro Correa JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 22DI02506700 NJ
N 1223E0200X Endodontist FC3508124 NJ
Y 1223G0001X General Practice 9466 SC
Y 213EG0000X General Practice 9466 SC

National Provider Identifier

NPI 1063760213
Provider Name Dr. Mauro Correa JR.
First Address Tacoma, WA 98431-0001
Second Address Ft Jackson, SC 29207-6022
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 20/08/2012
Last Update Date 23/09/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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