Ronald Keith Corley, DDS
Individual provider Active NPI Dentist · Laporte, IN
NPI 1164460705 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1164460705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6929 (IN)
- Practice address
- 614 Andrew Ave
Laporte, IN 46350 - Phone
- (219) 326-7530
- Fax
- (219) 326-7531
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 6929 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Corley, DDS | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6929 | IN | Yes |
Addresses
Primary practice location
614 Andrew Ave
Laporte, IN 46350
Mailing address
614 Andrew Ave
Laporte, IN 46350
Phone (219) 326-7530
Other providers in Laporte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 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.