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Active NPI 1063760213 Individual Practitioner Male Practitioner

Dr. Mauro Correa , DMD

Dentist - General Practice • Ft Jackson, SC

Professional Overview & Biography Verified Profile Summary

Dr. Mauro Correa, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ft Jackson, SC. Practice services are available at 4323 HILL STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4323 Hill Street
Usa Dental Health Activity

Ft Jackson, SC 292076022

Telephone 8037516209

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ft Jackson, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Ft Jackson, SC (1873 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 9466

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License NJ 22DI02506700

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License NJ FC3508124

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Adam Lane , DDS

Dentist - Endodontics

NPI 1063728376

Doctor of Dental Surgery

NPI 1073067252

Doctor of Dental Medicine

NPI 1144679242

PREVENTIVEDENTISTRY

Shaunda Mcdonald , RDH

Dental Hygienist

NPI 1235588922

Registered Dental Hygienist

Shelbie Benton , RDH

Dental Hygienist

NPI 1366891038

Registered Dental Hygienist

Dr. Richard Ritter , DMD

Dentist - Prosthodontics

NPI 1437107356

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2019

Dentist (License #22DI02506700 in NJ)

📍
Updated Practice Location June 25, 2019

Registered at 4323 HILL STREET, USA DENTAL HEALTH ACTIVITY, FT JACKSON, SC 292076022 (Tel: 8037516209)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Dentist (License #FC3508124 in NJ)

NPI Profile Active July 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2013

Registered at 9900 LINCOLN ST FL 2, USA DENTAL ACTIVITY, TACOMA, WA 984310001 (Tel: 2539684029)

📍
Updated Business Mailing Address July 16, 2013

Registered at 9900 LINCOLN ST FL 2, USA DENTAL ACTIVITY, TACOMA, WA 984310001 (Tel: 2539684029)

👤
Provider Name / Credentials Updated July 16, 2013

Recorded as MAURO CORREA, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2013

Dentist (License #22DI02506700 in NJ)

🟢
Initial NPI Registration & Enumeration August 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063760213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2012
Last Update: September 23, 2019
Sole Proprietor: Yes

Mailing Address

9900 Lincoln St Fl 2, Usa Dental Activity

Tacoma, WA 984310001

Phone: 2539684029

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.