Jessica Lillie Corcoran, D.D.S.

General Practice Dentistry · Waverly, IA

Individual Active NPI

NPI number 1093844573

Practice location

121 20TH St NW
Waverly, IA 50677
Phone
(319) 352-5281
Fax
(319) 352-0509

Open in Google Maps

NPI record

NPI
1093844573
Entity type
Individual (Type 1)
Enumeration date
March 2, 2007
Last updated
May 1, 2020
Certified
May 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 08339 IA

About Dr. Corcoran

Jessica Lillie Corcoran, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 121 20TH St NW, Waverly, IA 50677. The NPI number 1093844573 was assigned on March 2, 2007 and the record was last updated on May 1, 2020.

Dr. Corcoran lists a license in the registry: #08339 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Lillie Corcoran, D.D.S.?

The NPI number is 1093844573.

What is the phone number of Dr. Corcoran?

The phone number listed for the practice location is (319) 352-5281.

Where is Dr. Corcoran located?

121 20TH St NW, Waverly, IA 50677.

What is the taxonomy code for Dr. Corcoran?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Waverly

All General Practice Dentistry providers in Waverly, IA →