Corbet K Ellison Dds Pc

LBN: Corbet K Ellison Dds Pc
Corbet K Ellison Dds Pc is an health care organization with primary practice located at 11233 Shadow Creek Pkwy Suite 120, Pearland TX 77584-7345. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Corbet K Ellison Dds Pc can be contacted via phone (281) 741-5247, or through Ellison, Corbet K via phone (281) 741-5247.

Contact Information

Primary practice address
11233 Shadow Creek Pkwy Suite 120 Pearland TX 77584-7345
Phone: (281) 741-5247
Fax: (281) 741-5354
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Corbet K Doctor of Dental Surgery (DDS)
Phone: (281) 741-5247

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 23589 Texas
Dental Providers / Endodontics 1223E0200X 26246 Texas
Dental Providers / General Practice 1223G0001X 21095 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 23589 Texas
Dental Providers / Periodontics 1223P0300X 10216 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 23794 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 25662 Texas

Profile Details

NPI number 1073810735
LBN Legal business name Corbet K Ellison Dds Pc
DBA Doing business as
Authorized official Ellison, Corbet K Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2011
Last updated Nov 17th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073810735 NPPES
Texas MEDICAID 188083306

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