DR. COREY MENOU DDS NPI 1679014567

NPI Information

NPI: 1679014567
Provider Name: DR. COREY MENOU, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1830 E BROAD ST STE 104
MANSFIELD, TX
ZIP 76063
Phone: (817) 473-7171
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DR. Corey Menou, DDS is a pediatric dentistry dentist in Mansfield, TX. The provider is 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. DR. Corey Menou, DDS NPI is 1679014567. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1830 E BROAD ST STE 104
MANSFIELD, TX
ZIP 76063-161
Phone: (817) 473-7171
Fax: (817) 473-2594

The enumeration date for this NPI number is 3/13/2017 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	34681	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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