National Provider Identifier
Tobias Wilson Corcoran, DDS
Tobias Wilson Corcoran, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in East Aurora, NY and a listed phone number of (716) 710-2888.
Profile Overview
- NPI
- 1912130733
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- August 27, 2009
- Last Updated
- August 24, 2022
Practice Location
- 607 Oakwood Ave
- Aurora Smiles Pediatric Dentistry
- East Aurora, NY 14052-2354
Phone: (716) 710-2888
Mailing Address
- 607 Oakwood Ave
- Aurora Smiles Pediatric Dentistry
- East Aurora, NY 14052
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1912130733
- Entity Type
- Individual
- Last Name
- Corcoran
- First Name
- Tobias
- Middle Name
- Wilson
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 607 Oakwood Ave
- Mailing Address Line 2
- Aurora Smiles Pediatric Dentistry
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052
- Mailing Country
- US
- Mailing Phone
- (716) 710-2888
- Mailing Fax
- (716) 805-7001
- Practice Street Address
- 607 Oakwood Ave
- Practice Address Line 2
- Aurora Smiles Pediatric Dentistry
- Practice City
- East Aurora
- Practice State
- NY
- Practice ZIP Code
- 14052-2354
- Practice Country
- US
- Practice Phone
- (716) 710-2888
- Practice Fax
- (716) 805-7001
- Enumeration Date
- August 27, 2009
- Last Updated
- August 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)