=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386509560
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CORBELLE DENTAL CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2025
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1300 N UNIVERSITY DR
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33024-5033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-616-5764
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8380 NW 23RD ST
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33024-3456
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-616-5764
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | DR. SILVIA CORBELLE BATISTA
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 786-616-5764
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------