Individual
DR. DEREK TODD CORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 S MAIN ST, EDINBURGH, IN 46124-1337
(812) 220-2676
Mailing address
206 S MAIN ST, EDINBURGH, IN 46124-1337
(812) 381-1525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012950A
IN
Other
Enumeration date
06/25/2018
Last updated
03/12/2019
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