Corbin Marchack DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CORBIN MARCHACK DDS PC

Practice address

3306 Emerald LN
Jefferson City, MO 65109-6877

Phone

(573) 638-3897

Fax

(573) 761-0515

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Corbin Matthew Marchack, DDS

Title

Owner

Phone

(573) 638-3897

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1730358581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 EMERALD LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096877",
            "telephone_number": "573-638-3897",
            "fax_number": "573-761-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 EMERALD LN",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096877",
            "telephone_number": "573-638-3897",
            "fax_number": "573-761-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN MARCHACK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MARCHACK",
        "authorized_official_first_name": "CORBIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-638-3897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Robert Cook, DO
• Lauren Platt Cook, M.D.
• Aaron Cooper, PHARM.D.
• Denise Leslie Cooper, CRNA
• James Alan Corbett, RN, FNP
• Corizon Health
• Cornerstone Caregiving East LLC
• Correctional Medical Imaging, Inc.
• Correctional Medical Imaging, Inc.
• Delia Silverio Costa, MD

• Dentist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.