Provider Demographics
NPI:1629438221
Name:CORKERY, MARIA ZOE SARAH (DMD)
Entity Type:Individual
Prefix:MS
First Name:MARIA ZOE
Middle Name:SARAH
Last Name:CORKERY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 CHANNEL DR. STE 300
Mailing Address - Street 2:SEARHC
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801
Mailing Address - Country:US
Mailing Address - Phone:907-463-4041
Mailing Address - Fax:907-463-4032
Practice Address - Street 1:3100 CHANNEL DR. STE 300
Practice Address - Street 2:SEARHC
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-463-4041
Practice Address - Fax:907-463-4032
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-12-21
Deactivation Date:2016-10-21
Deactivation Code:
Reactivation Date:2016-11-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program