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Active NPI 1750852182 Organization (Entity Type 2)

Derek M Cornetta, Dds, Pc

Clinic/Center - Dental • Assonet, MA

About Derek M Cornetta, Dds, Pc NPI 1750852182 Summary

Derek M Cornetta, Dds, Pc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Assonet, MA. Located at 36 S MAIN ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1750852182.

Administrative operations and authorized compliance are overseen by Derek Cornetta (President).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

36 S Main St

Assonet, MA 027021710

Telephone 5086445200

Authorized Official Information

Authorized Contact Name

DR. Derek Cornetta , DDS

Title / Role

President

Official Telephone

7742540869

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dr. Derek Cornetta , DDS NPI 1093128795

Dentist - General Practice

Assonet, MA

View Practitioner Profile →

Dr. Allie Martin , DMD NPI 1215637517

Dentist

Assonet, MA

View Practitioner Profile →

Dr. Zahra Hanif , DMD NPI 1689243586

Dentist - General Practice

Assonet, MA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active December 11, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2018

Registered at 36 S MAIN ST, ASSONET, MA 027021710 (Tel: 5086445200)

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Updated Business Mailing Address December 11, 2018

Registered at 36 S MAIN ST, ASSONET, MA 027021710 (Tel: 5086445200)

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Organization / Clinic Name Updated December 11, 2018

Operating as DEREK M CORNETTA, DDS, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2018

Clinic/Center

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Initial NPI Registration & Enumeration December 11, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1750852182

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: December 11, 2018

Last Update: December 11, 2018

Update or Correct Listing

Mailing Address

36 S Main St

Assonet, MA 027021710

Phone: 5086445200

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.