Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679014567 Individual Practitioner Male Practitioner

Dr. Corey Menou , DDS

Dentist - Pediatric Dentistry • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Dr. Corey Menou, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Mansfield, TX. Practice services are available at 1830 E BROAD ST STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1830 E Broad St Ste 104

Mansfield, TX 760639161

Telephone 8174737171
Fax 8174732594
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Mansfield, TX (1046 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

CMS Verified: 2019-12-11
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 34681

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Daniel Wright , DDS

Dentist - Pediatric Dentistry

NPI 1396901922

Doctor of Dental Surgery

Dr. Deborah Sullivan , DDS

Dentist - Pediatric Dentistry

NPI 1972649143

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 11, 2019

Registered at 1830 E BROAD ST STE 104, MANSFIELD, TX 760639161 (Tel: 8174737171)

📍
Updated Business Mailing Address December 11, 2019

Registered at 1830 E BROAD ST STE 104, MANSFIELD, TX 760639161 (Tel: 8174737171)

👤
Provider Name / Credentials Updated December 11, 2019

Recorded as COREY MENOU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2019

Dentist (License #34681 in TX)

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2017

Registered at 4927 PARKHURST DR, BATON ROUGE, LA 708164621 (Tel: 2257729833)

📍
Updated Business Mailing Address March 13, 2017

Registered at 4927 PARKHURST DR, BATON ROUGE, LA 708164621 (Tel: 2257729833)

👤
Provider Name / Credentials Updated March 13, 2017

Recorded as COREY MENOU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 13, 2017

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: 1679014567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2017
Last Update: December 11, 2019
Sole Proprietor: Yes

Mailing Address

1830 E Broad St Ste 104

Mansfield, TX 760639161

Phone: 8174737171

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.