Provider Demographics
NPI:1538738638
Name:CORNER, ZOE ELIZABETH (DMD)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:ELIZABETH
Last Name:CORNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-5818
Mailing Address - Country:US
Mailing Address - Phone:508-932-2147
Mailing Address - Fax:
Practice Address - Street 1:185 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-5818
Practice Address - Country:US
Practice Address - Phone:508-932-2147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859512122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist