Provider Demographics
NPI:1033777461
Name:TOBIAS W. CORCORAN DDS PLLC
Entity type:Organization
Organization Name:TOBIAS W. CORCORAN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-710-2888
Mailing Address - Street 1:607 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2354
Mailing Address - Country:US
Mailing Address - Phone:716-710-2888
Mailing Address - Fax:716-805-7001
Practice Address - Street 1:607 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2354
Practice Address - Country:US
Practice Address - Phone:716-710-2888
Practice Address - Fax:716-805-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty