Diana Correa, DDS
Dentist in Brockton, Massachusetts
1336647783- Practice location
- 63 Main St, Brockton, MA 02301-4042
- Phone
- 508-894-3681
- Fax
- —
- Last updated
- October 29, 2023
Diana Correa is a Dentist based in Brockton, MA. Diana Correa practices in Brockton, MA and has the professional credentials of DDS. The NPI Number for Diana Correa is 1336647783 and holds a License No. 17-641 (FL). The current practice location address for Diana Correa is 63 Main St, Brockton, MA 02301-4042 and can be reached out via phone at 508-894-3681.
Provider Profile Details
- NPI Number
- 1336647783
- Provider Name
- Diana Correa
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 63 Main St, Brockton, MA 02301-4042
- Phone Number
- 508-894-3681
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 30, 2018
- Last Update Date
- October 29, 2023
- Certification Date
- October 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 Main St
Brockton, MA 02301-4042 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4042
- Phone Number
- 508-894-3681
Provider Business Mailing Address Details
- Address
- 27 Range Heights Ter
Lynn, MA 01904-1554 - City
- Lynn
- State
- MA
- Zip
- 01904-1554
- Phone Number
- 786-657-0309
License Information
- License Number (1)
- 17-641
- License State (1)
- FL
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- DL15216
- License State (2)
- MA
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Diana Correa, DDS?
The NPI number of Diana Correa, DDS is 1336647783. It was assigned on January 30, 2018 and is currently active in the NPPES registry.
What is the specialty of Diana Correa, DDS?
Diana Correa, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in FL under license number 17-641.
Where does Diana Correa, DDS practice?
The practice location is 63 Main St, Brockton, MA 02301-4042. The office can be reached at 508-894-3681 (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 1336647783 directly on the NPPES registry website.