MEDICARE: DR. ALEXIS CORBIT WASHINGTON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DEN1001888	DC

General Provider Information

NPI Number	:	1427344571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS CORBIT WASHINGTON DDS

Provider Business Mailing Address
First Line	:	6024 OSAGE ST STE 870
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2771
Country	:	US
Telephone Number	:	919-423-5260
Fax Number	:

Provider Business Practice Location Address
First Line	:	1828 L ST NW STE 870
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5104
Country	:	US
Telephone Number	:	202-785-9474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	05/16/2024

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