Provider Demographics
NPI:1669264313
Name:CORBETT, DESTINY (DMD)
Entity type:Individual
Prefix:DR
First Name:DESTINY
Middle Name:
Last Name:CORBETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 BIRDIE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-0527
Mailing Address - Country:US
Mailing Address - Phone:239-634-9932
Mailing Address - Fax:
Practice Address - Street 1:1407 E UNION ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:GA
Practice Address - Zip Code:31092-7531
Practice Address - Country:US
Practice Address - Phone:229-268-6079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program