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

Jonathan David Vallecorsa

Individual provider Dentist · NPI 1821613464

Jonathan David Vallecorsa is a Dentist in Latham, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

4 Sunset Dr
Latham, NY 12110-2104
Phone: (518) 785-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062048 (NY)

Record details

NPI number1821613464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021
Mailing address4 Sunset Dr, Latham, NY 12110-2104

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