DR. JOHN M CORELLA (NPI# 1780898353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780898353 |
Entity Type | Individual |
Full Name | DR. JOHN M CORELLA |
Credential | DMD |
Practice Address |
100 Harth Place Summerville SC 29485 |
Practice Telephone | 8438737326 |
Practice Fax Number | 8434861051 |
Mailing Telephone | 8438737326 |
Mailing Fax Number | 8434861051 |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2855 | SC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | Z28550 | 05 |
Street Address |
100 HARTH PLACE |
City | SUMMERVILLE |
State | SC |
Zip Code | 29485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
Find all providers in zip 29485 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1720552524 | Sfd Knightsville LLC | Dentist | 487 W Butternut Rd, Summerville, SC 29483-5568 | 2019-01-15 |
1144762576 | Sfd Carnes LLC | Dentist | 110 Parish Farms Dr, Summerville, SC 29486-0409 | 2016-11-16 |
1619320116 | James Reed Williamson | Dentist | 502 N Pine St, Summerville, SC 29483-6555 | 2016-07-20 |
1487036794 | Seastone Dental | Dentist | 953 Orangeburg Rd, Ste B, Summerville, SC 29483-8941 | 2015-06-23 |
1235523887 | Melissa Owen | Dentist | 604a Nexton Square Dr, Summerville, SC 29486-7914 | 2015-03-21 |
1932406147 | Hubert Eric Heiden | Dentist | 2039 North Main Street, Summerville, SC 29483 | 2011-02-24 |
1902028269 | William Thomas Miller | Dentist | 502 North Pine Street, Summerville, SC 29483 | 2007-05-03 |
1578785309 | James Frederick Mcclary Sr. | Dentist | 503 N. Pine Street, Summerville, SC 29483 | 2007-05-02 |
Find all providers in SUMMERVILLE |
City | SUMMERVILLE |
Zip Code | 29485 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.