Koren & Associates, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6997 Issued in NC

Legal business name

KOREN & ASSOCIATES, DDS, PA

Practice address

110 W Church St
Creedmoor, NC 27522

Phone

(919) 528-0800

NPI assigned

Jul 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janet Lynn Corbley

Title

Ceo

Phone

(919) 528-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Total Smiles of Durham Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1144585886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 PLEASANT VALLEY RD STE 212",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122634",
            "telephone_number": "919-528-0800",
            "fax_number": "888-818-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CHURCH ST",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-528-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Church St",
            "address_purpose": "LOCATION",
            "city": "Creedmoor",
            "state": "NC",
            "postal_code": "27522",
            "country_code": "US",
            "telephone_number": "919-528-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOREN & ASSOCIATES, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "CORBLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-528-0800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016HP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Smiles of Durham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Dillard Jones, M.A., LPC, LCAS, CCS
• Anand S Katta, RPH
• Keellen, LLC
• Kenneth R Marsh DDS PA
• Babita Khera
• Alyssa Krueger, DO
• Kyle J Roth IV DDS PA
• Sally Laliberte, FNP
• Gerald Germain Latta
• Nicole Latulip

• General Practice Dentistry in Creedmoor, NC
• Providers in Creedmoor, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.