Corcoran, James Robert

Corcoran, James Robert is an individual health care provider with primary practice located at 21St Street Bldg 2441, Fort Campbell KY 42223-5369. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Dentist is his primary health care specialty. Corcoran, James Robert can be contacted via phone (270) 798-8614.

Contact Information

Primary practice address
21St Street Bldg 2441 Fort Campbell KY 42223-5369
Phone: (270) 798-8614
Fax: (270) 798-8633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 60102 Kansas
Dental Providers / Endodontics 1223E0200X 60102 Kansas

Profile Details

NPI number 1144294562
LBN Legal business name Corcoran, James Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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