NPI 1003421157

Joshua Michael Corcran, DMD

Practitioner General Practice Dentistry Fort Worth, TX

Practice location

Address: 4833 S Hulen St STE 101, Fort Worth, TX 76132-1427
Phone: (817) 294-4600
Mailing address: 5840 Running Horse Dr, North Las Vegas, NV 89081-8006

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 36719 (TX)

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Registry record

NPI: 1003421157
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2020
Record last updated: 14 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.