JONATHAN DAVID VALLECORSA
NPI 1821613464
Dentist in Latham, NY

Active since June 09, 2020

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2021, Jun 9, 2020 (2 updates tracked since 2020).

About Jonathan David Vallecorsa NPPES

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

JONATHAN DAVID VALLECORSA (NPI 1821613464) is an individual dentist in Latham, New York, licensed in New York (062048) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1821613464
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJONATHAN DAVID VALLECORSA
Location Address4 SUNSET DRLatham, NY 12110-2104
Mailing Address4 Sunset DrLatham, NY 12110-2104 · (518) 785-5100
Sole ProprietorNo
Enumeration DateJune 9, 2020
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
NPI 1821613464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 062048
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4 SUNSET DR, Latham, NY 12110

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
4 SUNSET DR
LATHAM, NY 12110
Dentist
4 SUNSET DR
LATHAM, NY 12110
Dentist (General Practice)
4 SUNSET DR
LATHAM, NY 12110

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 Jonathan Vallecorsa's NPI number?

The NPI number for Jonathan Vallecorsa is 1821613464. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Jonathan Vallecorsa located?

Jonathan Vallecorsa practices at 4 Sunset Dr, Latham, NY 12110. The listed phone number is (518) 785-5100.

What is Jonathan Vallecorsa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jonathan Vallecorsa accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jonathan Vallecorsa 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 Jonathan Vallecorsa was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.