Provider Demographics
NPI:1992017933
Name:CLAUDE E. CORBITT JR. D.D.S. INC
Entity Type:Organization
Organization Name:CLAUDE E. CORBITT JR. D.D.S. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:CORBITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-574-7000
Mailing Address - Street 1:6371 BRIDGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2943
Mailing Address - Country:US
Mailing Address - Phone:513-574-7000
Mailing Address - Fax:513-574-7118
Practice Address - Street 1:6371 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2943
Practice Address - Country:US
Practice Address - Phone:513-574-7000
Practice Address - Fax:513-574-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14652122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty