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General NPI Number Information
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NPI Number | 1558297101
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Entity Type | Organization
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Legal Business Name | KORY GOLCHERT DDS A DENTAL CORPORATION
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 17542 IRVINE BLVD STE A
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City | TUSTIN
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State | CA
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Zip | 92780-3155
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Country | US
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Telephone | 714-547-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 5411 SIERRA VERDE RD
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City | IRVINE
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State | CA
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Zip | 92603-3842
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KORY JOHN GOLCHERT
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Credential | DDS
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Telephone | 916-216-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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