Individual provider · Type 1 NPI

Corbet Kevin Ellison, DDS

Pediatric Dentistry · Pearland, TX

NPI number 1699730895 Active

Practice location

11233 Shadow Creek Pkwy Ste 120
Pearland, TX 77584-7345

Call (281) 741-5247 Map

Fax (281) 741-5354

Mailing address

1304 Dart St Apt A
Houston, TX 77007-6243

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDEN1000288 (DC)
Pediatric Dentistry Primary 1223P0221X23589 (TX)

Pediatric Dentistry: 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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About NPI 1699730895

Corbet Kevin Ellison, DDS's National Provider Identifier is 1699730895, issued on Apr 19, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Pearland, TX. The record was last updated on Oct 10, 2011.