Provider Demographics
NPI:1285868026
Name:CORBETT, JAMES THOMAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:THOMAS
Last Name:CORBETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 MITSCHER AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23551-2487
Mailing Address - Country:US
Mailing Address - Phone:757-444-7800
Mailing Address - Fax:
Practice Address - Street 1:1562 MITSCHER AVE
Practice Address - Street 2:USS WASP LHD1
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23551-2487
Practice Address - Country:US
Practice Address - Phone:301-319-8278
Practice Address - Fax:301-295-4835
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program