Correa, Mauro

Correa, Mauro is an sole proprietor health care provider with primary practice located at 4323 Hill Street Usa Dental Health Activity, Ft Jackson SC 29207-6022. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Correa, Mauro can be contacted via phone (803) 751-6209.

Contact Information

Primary practice address
4323 Hill Street Usa Dental Health Activity Ft Jackson SC 29207-6022
Phone: (803) 751-6209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02506700 New Jersey
Dental Providers / Endodontics 1223E0200X FC3508124 New Jersey
Dental Providers / General Practice 1223G0001X 9466 South Carolina

Profile Details

NPI number 1063760213
LBN Legal business name Correa, Mauro
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2012
Last updated Sep 23rd, 2019 - about 5 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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