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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN CORREA DMD
NPI 1417759226
Student in an Organized Health Care Education/Training Program in Newport, VT

Active since March 25, 2025
212 PROUTY DR STE 1, NEWPORT, VT 05855(802) 334-6965 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Correa Dmd NPPES

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

JUSTIN CORREA DMD (NPI 1417759226) is an individual student in an organized health care education/training program in Newport, Vermont and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1417759226
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN CORREACredential: DMD
Location Address212 PROUTY DR STE 1Newport, VT 05855-9455
Mailing Address264 Spruce StNewport, VT 05855-9674 · (954) 304-1868
Phone(802) 334-6965
Sole ProprietorYes
Enumeration DateMarch 25, 2025
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1417759226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
212 PROUTY DR STE 1, Newport, VT 05855
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Other Providers at the Same Location NPPES

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

DR. SEBASTIAN R SLAGEL DMD
Dentist (General Practice)
212 PROUTY DR STE 1
NEWPORT, VT 05855
Orleans County (802) 334-6965

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 Justin Correa's NPI number?

The NPI number for Justin Correa is 1417759226. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Justin Correa located?

Justin Correa practices at 212 Prouty Dr Ste 1, Newport, VT 05855. The listed phone number is (802) 334-6965.

What is Justin Correa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Correa was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.