Acosta, Corey
Acosta, Corey is an individual health care provider with primary practice located at 6611 Kirby Center Cv , Memphis TN 38115-4313. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Acosta, Corey can be contacted via phone (901) 363-8192.Contact Information
Primary practice address
6611 Kirby Center Cv
Memphis TN 38115-4313
Phone: (901) 363-8192
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 11562 | Tennessee |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Tennessee | |
Dental Providers / Pediatric Dentistry | 1223P0221X | 11562 | Tennessee |
Profile Details
NPI number | 1376126870 |
---|---|
LBN Legal business name | Acosta, Corey |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2021 |
Last updated | Jun 2nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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