KORBIN HALLY (NPI# 1154945202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154945202 |
| Entity Type | Individual |
| Full Name | KORBIN HALLY |
| Credential | DDS |
| Practice Address |
2600 Tayler Street Edmond OK 73003 |
| Mailing Address |
3000 Horse Shoe Bnd Edmond OK 73034-9131 |
| Practice Telephone | 4058446333 |
| Mailing Telephone | 4055857274 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
T-7334 | OK | Dental Providers |
| Street Address |
2600 TAYLER STREET |
| City | EDMOND |
| State | OK |
| Zip Code | 73003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| 1881039535 | Hopeful Tomorrows Counseling, Inc. | Counselor | 708 N. Santa Fe Ave., Ste. 110 D, Edmond, OK 73003 | 2013-05-08 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748773 | Tri Nguyen | Dentist | 2325 Nw 153rd St, Edmond, OK 73013-9229 | 2019-06-12 |
| 1497247860 | Preston Eugene Harraman | Dentist | 775 W Covell Rd Ste 160, Edmond, OK 73003-2302 | 2018-06-01 |
| 1346698842 | Jason Wallace | Dentist | 1400 W Covell Rd, Edmond, OK 73003-3504 | 2016-05-25 |
| 1013311265 | Dental Professionals of Ok, PC | Dentist | 3152 S Broadway, Edmond, OK 73013-4056 | 2014-10-17 |
| 1033519012 | Roger Potts Dental Group, PC | Dentist | 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 | 2014-08-27 |
| 1588077150 | Krystal Dawn Hall | Dentist | 21026 Highlander Ridge Dr, Edmond, OK 73012-0902 | 2014-06-11 |
| 1497023196 | Tapan Koticha | Dentist | 16430 Muirfield Place, Edmond, OK 73013-9161 | 2011-12-08 |
| 1922394261 | William Samuel Ward | Dentist | 1354 E 15th St, Edmond, OK 73013-5029 | 2011-06-24 |
| 1083904833 | Dawn Annette Hisey | Dentist | 1140 Brookside Ct, Edmond, OK 73025-9748 | 2011-04-13 |
| 1740417328 | Yong Ki Hong | Dentist | 18001 N Western Ave Ste 106, Edmond, OK 73012 | 2009-06-22 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.