Courtney Collett, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9488 Issued in KY

Practice address

129 S Highway 1223
Corbin, KY 40701

Phone

(606) 526-9636

NPI assigned

Jun 24, 2014

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

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1679988000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S HIGHWAY 1223",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014641",
            "telephone_number": "606-526-9636",
            "fax_number": "606-526-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S HIGHWAY 1223",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-526-9636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1368 Highway 192 E",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407413123",
            "country_code": "US",
            "telephone_number": "606-864-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETT",
        "first_name": "COURTNEY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Cohen
• Michael Ryan Coleman, M.ED, MHA
• Travis K Coleman
• Anne Marie Collett
• Brooklyn V Collett, CPSS
• Jonra Hollie Collett, BS
• Kathy Marie Collett, M.ED.
• McKayla Brooke Collett, TCADC
• Shelby Collett
• Kaitlin Gabrielle Collier, PT, DPT

• Pediatric Dentistry in Corbin, KY
• Providers in Corbin, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.