Healthcare Provider Details

I. General information

NPI: 1083544829
Provider Name (Legal Business Name): CATHERINE MARIE CORBETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSIE CORBETT DMD

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 HIGHWAY 645
INEZ KY
41224-9181
US

IV. Provider business mailing address

1709 KY ROUTE 321
PRESTONSBURG KY
41653-9097
US

V. Phone/Fax

Practice location:
  • Phone: 606-298-3412
  • Fax:
Mailing address:
  • Phone: 606-886-8546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD-00185
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: