Active NPIIndividual provider

Dr. Derek M Cornetta, DDS

Dentist, General Practice in Assonet, Massachusetts

NPI Number1093128795
Practice location
36 S Main St, Assonet, MA 02702-1710
Fax
—
Last updated
December 11, 2020

Derek M Cornetta is a Dentist, General Practice based in Assonet, MA. Derek M Cornetta practices in Assonet, MA and has the professional credentials of DDS. The NPI Number for Derek M Cornetta is 1093128795 and holds a License No. DN1856555 (MA). The current practice location address for Derek M Cornetta is 36 S Main St, Assonet, MA 02702-1710 and can be reached out via phone at 508-644-5200.

Provider Profile Details

NPI Number
1093128795
Provider Name
Derek M Cornetta
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
36 S Main St, Assonet, MA 02702-1710
Phone Number
508-644-5200
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2014
Last Update Date
December 11, 2020
Certification Date
December 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 S Main St
Assonet, MA 02702-1710
Zip
02702-1710
Phone Number
508-644-5200
Assonet, MA 02702Get directions →

Provider Business Mailing Address Details

Address
Po Box 137
Assonet, MA 02702-0137
City
Assonet
State
MA
Zip
02702-0137
Phone Number
508-644-5200

License Information

License Number (1)
DN1856555
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
DEN03224
License State (2)
RI
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Derek M Cornetta, DDS?

The NPI number of Dr. Derek M Cornetta, DDS is 1093128795. It was assigned on June 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Derek M Cornetta, DDS?

Dr. Derek M Cornetta, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1856555.

Where does Dr. Derek M Cornetta, DDS practice?

The practice location is 36 S Main St, Assonet, MA 02702-1710. The office can be reached at 508-644-5200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093128795 directly on the NPPES registry website.

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