Provider Demographics
NPI:1629688767
Name:ALHADEF, CORBIN REED (DDS)
Entity Type:Individual
Prefix:
First Name:CORBIN
Middle Name:REED
Last Name:ALHADEF
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 1:8226 DOUGLAS AVE STE 753
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5929
Mailing Address - Country:US
Mailing Address - Phone:214-368-2434
Mailing Address - Fax:
Practice Address - Street 1:8226 DOUGLAS AVE STE 753
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5929
Practice Address - Country:US
Practice Address - Phone:214-368-2434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35673122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist