CORCORAN PRIVITERA FAMILY DENTAL LLC
NPI 1952035859
Dentist in Peebles, OH

Active since July 15, 2022
15 SHAKER RUN RD, PEEBLES, OH 45660(937) 587-3903 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corcoran Privitera Family Dental Llc NPPES

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

CORCORAN PRIVITERA FAMILY DENTAL LLC (NPI 1952035859) is a healthcare organization registered as a dentist in Peebles, Ohio and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Waverly and lists Brandon M Privitera, Owner, as its authorized official.

NPPES Registry Identity

NPI1952035859
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCORCORAN PRIVITERA FAMILY DENTAL LLC
Location Address15 SHAKER RUN RDPeebles, OH 45660-9401
Mailing Address415 Market StPiketon, OH 45661-9111 · (440) 415-2334
Organization SubpartNo
Authorized OfficialBrandon M PriviteraOwner · (440) 415-2334
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
NPI 1952035859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
15 SHAKER RUN RD, Peebles, OH 45660

Secondary Practice Location 1

Location 1100 E 3rd StWaverly, OH 45690-1401 · Phone (740) 835-4698

Other Identifiers 6

Other1326603283Npi
Medicaid0521224OH
Other1376586669Npi
Other1669037529Npi
Medicaid0349182OH
Medicaid0349186OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
15 SHAKER RUN RD
PEEBLES, OH 45660
Dentist (General Practice)
15 SHAKER RUN RD
PEEBLES, OH 45660

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 Corcoran Privitera Family Dental LLC's NPI number?

The NPI number for Corcoran Privitera Family Dental LLC is 1952035859. It was assigned to this organization in the NPPES registry on July 15, 2022.

Where is Corcoran Privitera Family Dental LLC located?

Corcoran Privitera Family Dental LLC is located at 15 Shaker Run Rd, Peebles, OH 45660. The listed phone number is (937) 587-3903.

What is Corcoran Privitera Family Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Corcoran Privitera Family Dental LLC was last updated on July 15, 2022. 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.