Provider Demographics
NPI:1609972660
Name:CORBIN, PHILIP J SR (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:J
Last Name:CORBIN
Suffix:SR
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:3419 COULTER
Mailing Address - Street 2:#1A
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109
Mailing Address - Country:US
Mailing Address - Phone:806-353-9862
Mailing Address - Fax:806-353-4442
Practice Address - Street 1:3419 COULTER
Practice Address - Street 2:#1A
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109
Practice Address - Country:US
Practice Address - Phone:806-353-9862
Practice Address - Fax:806-353-4442
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXTX106851223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics