Demetria Jill Corbitt, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

1111 Issued in AR

Practice address

1242 W 42ND Ave
Pine Bluff, AR 71603-7109

Phone

(870) 535-0301

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William T Shepherd, Jr DDS

  • Dental Clinic/Center
  • Pine Bluff, AR
  • NPI 1578153540
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053046243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 HIGHWAY 104",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029182",
            "telephone_number": "501-831-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037109",
            "telephone_number": "870-535-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBITT",
        "first_name": "DEMETRIA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AR",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Kay Conner, LPN
• Melanie L Cook-Dobbins, LCSW
• Allison Renee Cook, LAC
• Christina Cook, LCSW
• James Franklin Cooper III, M.D.
• Cornerstone Adventurous Blessings
• Correct Care Solutions
• Correct Care Solutions
• Debbie Denise Diane Cotton, CADC, CDPA
• Courtney Chiropractic Clinic, P.a.

• Dental Hygienist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Dental Hygienist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.