Provider Demographics
NPI:1962603548
Name:CORBETT, VINCENT PETER JR (DDS)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:PETER
Last Name:CORBETT
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:134 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-2047
Mailing Address - Country:US
Mailing Address - Phone:603-964-6251
Mailing Address - Fax:603-964-5351
Practice Address - Street 1:134 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-2047
Practice Address - Country:US
Practice Address - Phone:603-964-6251
Practice Address - Fax:603-964-5351
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH11581223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery