Individual
DR. COREY JOSEPH CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
500 LENTZ DR STE 40, MADISON, TN 37115
(615) 868-9057
(615) 868-0234
Mailing address
2405 N COURTENAY PKWY STE 105, MERRITT ISLAND, FL 32953-4050
(321) 453-2450
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10692
TN
1223P0221X
Pediatric Dentistry
22879
FL
1223P0221X
Pediatric Dentistry
4029
AR
Other
Enumeration date
04/07/2014
Last updated
07/31/2018
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