Healthcare Provider Details
I. General information
NPI: 1386509560
Provider Name (Legal Business Name): CORBELLE DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 N UNIVERSITY DR
PEMBROKE PINES FL
33024-5033
US
IV. Provider business mailing address
8380 NW 23RD ST
PEMBROKE PINES FL
33024-3456
US
V. Phone/Fax
- Phone: 786-616-5764
- Fax:
- Phone: 786-616-5764
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SILVIA
CORBELLE BATISTA
Title or Position: DENTIST
Credential: DMD
Phone: 786-616-5764