Jerome Alan Correa, D.D.S.

General Practice Dentistry · Orland Park, IL

Individual Active NPI

NPI number 1750547782

Practice location

62 Orland Square Dr
Suite 304
Orland Park, IL 60462-6546
Phone
(708) 349-1919
Fax
(708) 349-1990

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NPI record

NPI
1750547782
Entity type
Individual (Type 1)
Enumeration date
July 29, 2008
Last updated
July 29, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019018843 IL

About Dr. Correa

Jerome Alan Correa, 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 62 Orland Square Dr, Suite 304, Orland Park, IL 60462-6546. The NPI number 1750547782 was assigned on July 29, 2008 and the record was last updated on July 29, 2008.

Dr. Correa lists a license in the registry: #019018843 (IL) 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 Jerome Alan Correa, D.D.S.?

The NPI number is 1750547782.

What is the phone number of Dr. Correa?

The phone number listed for the practice location is (708) 349-1919.

Where is Dr. Correa located?

62 Orland Square Dr, Suite 304, Orland Park, IL 60462-6546.

What is the taxonomy code for Dr. Correa?

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.

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