Individual
DR. JOHN TYLER CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1203 NW MAYNARD RD # 1A, CARY, NC 27513-8720
(919) 466-7726
Mailing address
3710 EXCHANGE GLENWOOD PL APT 241, RALEIGH, NC 27612-4839
(513) 703-0014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12630
NC
1223G0001X
General Practice Dentistry
30.025421
OH
Other
Enumeration date
05/21/2018
Last updated
05/21/2024
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