Gerald W Corum, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4793 Issued in FL

Practice address

620 W State Road 434
Winter Springs, FL 32708-5330

Phone

(407) 327-0731

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Smile Dentistry, PA

  • Dentist
  • Winter Springs, FL
  • NPI 1447527353
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326172602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085330",
            "telephone_number": "407-327-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085330",
            "telephone_number": "407-327-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUM",
        "first_name": "GERALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "4793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Collins
• Comfortable Care Dental Health Professionals, P.a. (Lake Jesup Dental Care)
• Complete Wellness Medical Center of Sanford, Inc.
• Teresa Jean Conner, CCC-SLP
• Jenema Cooper
• Kyla Costello, APRN
• Joan Diane Coupland, MD
• Lynnette R Craig, MA, LPC, CAAC II
• Shaun A Creary-Walker, DNP, FNP-BC, APRN
• Wandy Marie Cruz Rivera

• General Practice Dentistry in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.