Active NPIIndividual providerSole proprietor

Dr. Kevin J Corry, DDS

Dentist, Oral and Maxillofacial Surgery in Union, New Jersey

NPI Number1417042680
Practice location
990 Rahway Ave, Union, NJ 07083
Fax
908-687-9417
Last updated
July 23, 2009

Kevin J Corry is a Dentist, Oral and Maxillofacial Surgery based in Union, NJ. Kevin J Corry practices in Union, NJ and has the professional credentials of DDS. The NPI Number for Kevin J Corry is 1417042680 and holds a License No. 15617 (NJ). The current practice location address for Kevin J Corry is 990 Rahway Ave, Union, NJ 07083 and can be reached out via phone at 908-687-1055 and via fax at 908-687-9417.

Provider Profile Details

NPI Number
1417042680
Provider Name
Kevin J Corry
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
990 Rahway Ave, Union, NJ 07083
Phone Number
908-687-1055
Fax Number
908-687-9417
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
July 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
990 Rahway Ave
Union, NJ 07083
City
Union
Zip
07083
Phone Number
908-687-1055
Fax Number
908-687-9417
Union, NJ 07083Get directions →

Provider Business Mailing Address Details

Address
990 Rahway Ave
Union, NJ 07083
City
Union
State
NJ
Zip
07083
Phone Number
908-687-1055
Fax Number
908-687-9417

License Information

License Number (1)
15617
License State (1)
NJ
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
License Number (2)
22DI01561700
License State (2)
NJ
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X

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. Kevin J Corry, DDS?

The NPI number of Dr. Kevin J Corry, DDS is 1417042680. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin J Corry, DDS?

Dr. Kevin J Corry, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 15617.

Where does Dr. Kevin J Corry, DDS practice?

The practice location is 990 Rahway Ave, Union, NJ 07083. The office can be reached at 908-687-1055 (phone) or 908-687-9417 (fax).

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 1417042680 directly on the NPPES registry website.

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