| Charles E Corbett Jr, Dmd | |
|
308 79th Ave N Myrtle Beach SC 29572-4304 | |
| (843) 449-7011 | |
| (843) 449-8383 |
| Full Name | Charles E Corbett Jr, Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 308 79th Ave N, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Charles E Corbett (OWNER) |
| Authorized Official Contact | 8434497011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Corbett Jr, Dmd 308 79th Ave N Myrtle Beach SC 29572-4304 Ph: (843) 449-7011 | Charles E Corbett Jr, Dmd 308 79th Ave N Myrtle Beach SC 29572-4304 Ph: (843) 449-7011 |
| NPI Number | 1568614030 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568614030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2786 (South Carolina) | Primary |
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