Provider Demographics
NPI:1205897725
Name:CORBETT, HUONG NGUYEN (DDS)
Entity type:Individual
Prefix:DR
First Name:HUONG
Middle Name:NGUYEN
Last Name:CORBETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 GRAND FALLS CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7478
Mailing Address - Country:US
Mailing Address - Phone:972-370-0821
Mailing Address - Fax:
Practice Address - Street 1:6800 WINDHAVEN PKWY
Practice Address - Street 2:SUITE 135
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-5468
Practice Address - Country:US
Practice Address - Phone:972-315-1821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-01
Last Update Date:2013-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX165281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0092298-02Medicaid