Provider Demographics
NPI:1265659569
Name:CORBIN J. TURPIN, III, DDS, LLC
Entity Type:Organization
Organization Name:CORBIN J. TURPIN, III, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORBIN
Authorized Official - Middle Name:JEFFERSON
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-396-6355
Mailing Address - Street 1:4888 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7586
Mailing Address - Country:US
Mailing Address - Phone:318-396-6355
Mailing Address - Fax:
Practice Address - Street 1:4888 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7586
Practice Address - Country:US
Practice Address - Phone:318-396-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA51461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty