Provider Demographics
NPI:1952375842
Name:CORRADO, LOUIS J (DDS)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:CORRADO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 KURT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1931
Mailing Address - Country:US
Mailing Address - Phone:412-571-2149
Mailing Address - Fax:
Practice Address - Street 1:MANOR OAK TWO
Practice Address - Street 2:1910 COCHRAN ROAD, SUITE 910
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:412-440-0344
Practice Address - Fax:412-440-0342
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0240451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice