Maria Zoe Sarah Corkery, DMD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Juneau, AK

NPI 1629438221 · NPPES record last updated Dec 21, 2016

Key facts

NPI
1629438221
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3100 Channel Dr. Ste 300
Searhc
Juneau, AK 99801
Phone
(907) 463-4041
Fax
(907) 463-4032
NPI assigned
Feb 25, 2016
Reactivated
Nov 30, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3100 Channel Dr. Ste 300
Searhc
Juneau, AK 99801

Mailing address

3100 Channel Dr. Ste 300
Searhc
Juneau, AK 99801
Phone (907) 463-4041

Other providers in Juneau, AK

All providers in Juneau, AK · Student in an Organized Health Care Education/Training Program in Alaska

Sources for this page

Verify at the official NPI Registry.