Active NPI
Anthony R. Corral, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Fort Lauderdale, FL
National Provider Identifier
1992831341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN17063
- Practice address
- 2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866 - Phone
- (954) 451-2290
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN17063 | FL | Primary |
Addresses
Primary practice location
2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866
Mailing address
2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866
Phone (954) 451-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17063 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RFD1 PLLC | Dentist | Current | Accepting new patients |
Locations
2122 W Cypress Creek Rd
Ste 201
Fort Lauderdale, FL 33309
Phone (954) 451-2290
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Fort Lauderdale, FL
- NPI 1407706468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1992831341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 W CYPRESS CREEK RD STE 201",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091866",
"telephone_number": "954-451-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 W CYPRESS CREEK RD STE 201",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091866",
"telephone_number": "954-451-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRAL",
"first_name": "ANTHONY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN17063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Cornerstone Recovery Center, Inc.
- Cornerstone Recovery Center, Inc.
- Brandon William Cornish, O.D.
- Natalia Correa
- Deborah Corrente, AP, DAOM, CHT
- Brittany Ashley Cortazar, PT, DPT
- Kevin Lee Cortes Gonzalez, MD
- Eduardo Cortes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.