Corcoran, Glen J
Corcoran, Glen J is an individual health care provider with primary practice located at 3701 Highway 59 Suite E, Mandeville LA 70471-1905. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Corcoran, Glen J can be contacted via phone (985) 871-9733.Contact Information
Primary practice address
3701 Highway 59 Suite E
Mandeville LA 70471-1905
Phone: (985) 871-9733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4477 | Louisiana |
Profile Details
| NPI number | 1588630198 |
|---|---|
| LBN Legal business name | Corcoran, Glen J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Mccracken, Michael John
1200 W Causeway Approach , Mandeville LA 70471-3066 -
Riley, Evan
4040 Lonesome Rd , Mandeville LA 70448 -
Bratcher, Astrid Ann
700 Asbury Dr , Mandeville LA 70471-1844 -
Mcmichael, Thomas David
215 St. Ann Dr. Suite 5, Mandeville LA 70471 -
May, Gregg A
4040 Lonesome Rd , Mandeville LA 70448-7085 -
Saacks, Karen Dyer
2881 Highway 190 Ste D4 , Mandeville LA 70471-3248 -
Landesman, Ian J
735 Asbury Dr , Mandeville LA 70471-1843 -
Brown, Gerald Brent
1800 W. Causeway Suite 118, Mandeville LA 70471-3112