Healthcare Provider Details

I. General information

NPI: 1205897725
Provider Name (Legal Business Name): HUONG NGUYEN CORBETT D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2006
Last Update Date: 08/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 WINDHAVEN PKWY SUITE 135
THE COLONY TX
75056-5468
US

IV. Provider business mailing address

6805 GRAND FALLS CIR
PLANO TX
75024-7478
US

V. Phone/Fax

Practice location:
  • Phone: 972-315-1821
  • Fax:
Mailing address:
  • Phone: 972-370-0821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number16528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: