Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mauro Correa Jr., DMD

Individual provider Dentist · NPI 1063760213

Dr. Mauro Correa Jr., DMD is a Dentist in Ft Jackson, South Carolina. Practices as a sole proprietor. Licensed in New Jersey and South Carolina.

Licensed in
NJ, SC
In the registry since
2012
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4323 Hill Street USA Dental Health Activity
Ft Jackson, SC 29207-6022
Phone: (803) 751-6209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9466 (SC)
Dentist Taxonomy 122300000X · Licence 22DI02506700 (NJ)
Endodontics Taxonomy 1223E0200X · Licence FC3508124 (NJ)

Record details

NPI number1063760213
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 20, 2012
Last updated in NPPESSeptember 23, 2019

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