Active NPIIndividual provider

Dr. Jessica K Corriel, DMD

Dentist, Pediatric Dentistry in Bridgeport, Connecticut

NPI Number1306238852
Practice location
4702 Main St, Bridgeport, CT 06606-1823
Fax
—
Last updated
November 27, 2017

Jessica K Corriel is a Dentist, Pediatric Dentistry based in Bridgeport, CT. Jessica K Corriel practices in Bridgeport, CT and has the professional credentials of DMD. The NPI Number for Jessica K Corriel is 1306238852 and holds a License No. 11765 (CT). The current practice location address for Jessica K Corriel is 4702 Main St, Bridgeport, CT 06606-1823 and can be reached out via phone at 475-422-5193.

Provider Profile Details

NPI Number
1306238852
Provider Name
Jessica K Corriel
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4702 Main St, Bridgeport, CT 06606-1823
Phone Number
475-422-5193
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Other Names
Dr. Jessica K Kenemuth, DMD (Former Name)
Provider Enumeration Date
February 20, 2015
Last Update Date
November 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
4702 Main St
Bridgeport, CT 06606-1823
Zip
06606-1823
Phone Number
475-422-5193
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
4702 Main St
Bridgeport, CT 06606-1823
City
Bridgeport
State
CT
Zip
06606-1823
Phone Number
475-422-5193

License Information

License Number
11765
License State
CT
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

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. Jessica K Corriel, DMD?

The NPI number of Dr. Jessica K Corriel, DMD is 1306238852. It was assigned on February 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica K Corriel, DMD?

Dr. Jessica K Corriel, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 11765.

Where does Dr. Jessica K Corriel, DMD practice?

The practice location is 4702 Main St, Bridgeport, CT 06606-1823. The office can be reached at 475-422-5193 (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 1306238852 directly on the NPPES registry website.

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