DR. JESSICA LILLIE CORCORAN D.D.S.
NPI 1093844573
Dentist - General Practice in Waverly, IA

Active since March 02, 2007
121 20TH ST NW, WAVERLY, IA 50677(319) 352-5281(319) 352-0509 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jessica Lillie Corcoran D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA LILLIE CORCORAN D.D.S. (NPI 1093844573) is an individual general practice provider in Waverly, Iowa, licensed in Iowa (08339) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1093844573
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JESSICA LILLIE CORCORANCredential: D.D.S.
Location Address121 20TH ST NWWaverly, IA 50677
Mailing Address121 20th St NwWaverly, IA 50677 · (319) 352-5281 · Fax (319) 352-0509
Fax(319) 352-0509
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateMay 1, 2020
NPPES CertifiedMay 1, 2020
NPI 1093844573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 08339
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
121 20TH ST NW, Waverly, IA 50677

Other Names 1

Former Name (1)Jessica Lillie Ewoldt

Other Identifiers 2

Medicaid0728550IA
Medicaid1728550IA

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
121 20TH ST NW
WAVERLY, IA 50677
Dentist
121 20TH ST NW
WAVERLY, IA 50677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Corcoran's NPI number?

The NPI number for Jessica Corcoran is 1093844573. It was assigned to this individual provider in the NPPES registry on March 2, 2007. The provider is also known as Jessica Lillie Ewoldt.

Where is Jessica Corcoran located?

Jessica Corcoran practices at 121 20th St NW, Waverly, IA 50677. The listed phone number is (319) 352-5281.

What is Jessica Corcoran's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jessica Corcoran accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa list Jessica Corcoran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Corcoran was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.