CHARLES E CORBETT JR DMD NPI 1568614030

NPI Information

NPI: 1568614030
Provider Name: CHARLES E CORBETT JR, DMD
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
308 79TH AVE N
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-7011
Get Directions

CHARLES E CORBETT JR, DMD is a dental clinic center in Myrtle Beach, SC. CHARLES E CORBETT JR, DMD NPI is 1568614030. The provider is registered as an organization entity type.

The provider's business location address is:

308 79TH AVE N
MYRTLE BEACH, SC
ZIP 29572-304
Phone: (843) 449-7011
Fax: (843) 449-8383

The provider's authorized official is Charles E Corbett .
The authorized official title is Owner and has the following contact phone number (843) 449-7011.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2786	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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