Individual
DR. JACK H CORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
80 S TUTTLE AVE, SARASOTA, FL 34237-6331
(941) 924-4210
(941) 927-0563
Mailing address
1529 OAK WAY, SARASOTA, FL 34232-3452
(941) 377-4208
(941) 371-5158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9100
FL
Other
Enumeration date
11/11/2006
Last updated
07/08/2007
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