Provider Demographics
NPI:1629113824
Name:CORBIN, WILLIAM DIXON (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DIXON
Last Name:CORBIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-0548
Mailing Address - Country:US
Mailing Address - Phone:479-524-6145
Mailing Address - Fax:479-524-2967
Practice Address - Street 1:509 S MOUNT OLIVE ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-3625
Practice Address - Country:US
Practice Address - Phone:479-524-6145
Practice Address - Fax:479-524-2967
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2073122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist