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Dr. Corbet Kevin Ellison, DDS
Pediatric Dentist in Pearland, Texas
NPI 1699730895

Corbet Kevin Ellison is a Pediatric Dentist based in Houston, TX and is specialized in Pediatric Dentistry. Corbet Kevin Ellison practices in Pearland, TX and has the professional credentials of DDS. The NPI Number for Corbet Kevin Ellison is 1699730895 and holds a License No. DEN1000288 (Texas).

The current practice location address for Corbet Kevin Ellison is 11233 Shadow Creek Pkwy Ste 120, Pearland, TX and can be reached out via phone at 281-741-5247 and via fax at 281-741-5354.

Location: 11233 Shadow Creek Pkwy Ste 120, Pearland, TX, 77007-6243
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Provider Profile Details
NPI Number
1699730895
Provider Name
Corbet Kevin Ellison
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11233 Shadow Creek Pkwy Ste 120, Pearland, TX, 77007-6243
Phone Number
281-741-5247
Fax Number
281-741-5354
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
188083306 05 TX
institution
Provider Business Practice Location Address Details
Address
11233 Shadow Creek Pkwy Ste 120
City
State
Zip
77584-7345
Phone Number
281-741-5247
Fax Number
281-741-5354
person
Provider Business Mailing Address Details
Address
11233 Shadow Creek Pkwy Ste 120
City
State
Zip
77584-7345
Phone Number
281-741-5247
Fax Number
281-741-5354
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DEN1000288 (District of Columbia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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