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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CORBET KEVIN ELLISON, DDS

Active

DR. CORBET KEVIN ELLISON, DDS is a Pediatric Dentistry healthcare provider located in PEARLAND, Texas. NPI 1699730895 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · PEARLAND, TX

Registration Details

NPI Number
1699730895
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.290474095782 yrs)
Last Updated
Oct 10, 2011
Licenses
DEN1000288 (DC)
23589 (TX)

Practice Information

Address
11233 SHADOW CREEK PKWY STE 120
PEARLAND, TX, 775847345
Browse TX providers · Browse ZIP 77584
Phone
2817415247
Fax
2817415354
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in PEARLAND, TX

Name Credential NPI
DR. PAMELA CLARK DDS 1659374221
IVETTE DIAZ DDS 1871643312
DR. RHEA ELYCE RADFORD D.D.S. 1750591988
MRS. LISA G. RICHARDSON DDS 1992969570
DR. CECILIA ELIZABETH CARPIO DDS 1902037609
DR. ELLEN HUANG D.M.D., M.S. 1174866578
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.