- Practice location
- 212 Prouty Dr Ste 1, Newport, VT 05855-9455
- Phone
- 802-334-6965
- Fax
- —
- Last updated
- June 24, 2026
Justin Correa is a Student in an Organized Health Care Education/Training Program based in Newport, VT. Justin Correa practices in Newport, VT and has the professional credentials of DMD. The NPI Number for Justin Correa is 1417759226. The current practice location address for Justin Correa is 212 Prouty Dr Ste 1, Newport, VT 05855-9455 and can be reached out via phone at 802-334-6965.
Provider Profile Details
- NPI Number
- 1417759226
- Provider Name
- Justin Correa
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 212 Prouty Dr Ste 1, Newport, VT 05855-9455
- Phone Number
- 802-334-6965
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 25, 2025
- Last Update Date
- June 24, 2026
- Certification Date
- June 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 212 Prouty Dr Ste 1
Newport, VT 05855-9455 - City
- Newport
- State
- Vermont
- Zip
- 05855-9455
- Phone Number
- 802-334-6965
Provider Business Mailing Address Details
- Address
- 264 Spruce St
Newport, VT 05855-9674 - City
- Newport
- State
- VT
- Zip
- 05855-9674
- Phone Number
- 954-304-1868
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Newport, VT
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Frequently Asked Questions
What is the NPI number of Justin Correa, DMD?
The NPI number of Justin Correa, DMD is 1417759226. It was assigned on March 25, 2025 and is currently active in the NPPES registry.
What is the specialty of Justin Correa, DMD?
Justin Correa, DMD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Justin Correa, DMD practice?
The practice location is 212 Prouty Dr Ste 1, Newport, VT 05855-9455. The office can be reached at 802-334-6965 (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 1417759226 directly on the NPPES registry website.