Kurt Corsbie, DDS
Individual provider Active NPI General Practice Dentistry · Plymouth, IN
NPI 1568035558 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1568035558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12013645A (IN)
- Practice address
- 113 N Michigan St
Plymouth, IN 46563-2132 - Phone
- (574) 936-3505
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013645A | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013645A | IN | Yes |
Addresses
Primary practice location
113 N Michigan St
Plymouth, IN 46563-2132
Mailing address
113 N Michigan St
Plymouth, IN 46563-2132
Phone (574) 936-3505
Other providers in Plymouth, IN
- Madelain Contreras
- Debra Sue Cook
- Jessica Cooper
- Lisa Cooper
- William T. Correll
- Oriana Corsbie
- Counseling Solutions
- Kristen Counts
- Elizabeth Craton
- Nathan Crawford
All providers in Plymouth, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.