Corey M Day, DDS
Individual provider Active NPI Dentist · Fort Drum, NY
NPI 1124754957 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1124754957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12910284-9926 (UT)
- Practice address
- 10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503 - Phone
- (315) 772-2294
- NPI assigned
- Jul 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12910284-9923 | UT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5581801 | ID | |
| Dentist | 122300000X | 12910284-9926 | UT | Yes |
Addresses
Primary practice location
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Mailing address
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Phone (315) 772-2294
Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.