Individual
DR. DONALD B CORK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7500 LAKE ANDREW DR UNIT 102, MELBOURNE, FL 32940-8763
(321) 622-3033
Mailing address
5185 HEBRON DR, MERRITT ISLAND, FL 32953-8157
(712) 253-8417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26586
FL
1223G0001X
General Practice Dentistry
M847
SD
Other
Enumeration date
10/19/2006
Last updated
08/17/2025
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