Provider Demographics
NPI:1912020447
Name:CORBETT, ALLISON WESTBROOK (DMD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:WESTBROOK
Last Name:CORBETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 PEACHTREE RD NW
Mailing Address - Street 2:SUITE 665
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2192
Mailing Address - Country:US
Mailing Address - Phone:404-816-7075
Mailing Address - Fax:404-816-5469
Practice Address - Street 1:2970 PEACHTREE RD NW
Practice Address - Street 2:SUITE 665
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2192
Practice Address - Country:US
Practice Address - Phone:404-816-7075
Practice Address - Fax:404-816-5469
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0134661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice