MRS. BONNIE LOTT CORBIN (NPI# 1376637330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376637330 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE LOTT CORBIN |
| Other Name | MS. BONNIE LOUISE LOTT |
| Credential | RDH |
| Practice Address |
103 Superior Drive Spring Lake NC 28390 |
| Mailing Address |
5624 Middlefield Place Fayetteville NC 28304 |
| Practice Telephone | 9104973200 |
| Mailing Telephone | 9103094822 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5479 | NC | Dental Providers |
| Street Address |
103 SUPERIOR DRIVE |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053405019 | David Gary Dickerhoff | Dentist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| 1144475658 | Jacqueline Serene Lapin | Dentist | 103 Superior Drive, Spring Lake Dental, Spring Lake, NC 28390-0000 | 2008-11-25 |
| 1669541181 | Hamid Rouhani | Dentist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-11-07 |
| 1003992223 | Dr David G Dickerhoff Dds & Associates Pa | Clinic/Center | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-31 |
| 1063506012 | Cheri Denise Lindstrom | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| 1487748471 | Tracey Perry Johnson | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063506012 | Cheri Denise Lindstrom | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| 1487748471 | Tracey Perry Johnson | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950612 | Carla Marie Lewis | Dental Hygienist | 1319 Nc 210, Sneads Ferry, NC 28460 | 2020-07-23 |
| 1760015820 | Lisa Ann Soltani | Dental Hygienist | 1664 Weeksville Rd Bldg 128, Elizabeth City, NC 27909-6701 | 2020-02-18 |
| 1568003093 | Patricia Elizabeth Anderson | Dental Hygienist | 3718 Gruber Rd Bldg H, Fort Bragg, NC 28310-8934 | 2019-10-07 |
| 1184276248 | Chandra Heintzeman | Dental Hygienist | 3049 N Kilchattan Dr, Fayetteville, NC 28306-4653 | 2019-07-09 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1427615046 | Rebecca Marie Perez | Dental Hygienist | 7901 Twin Oak Ct, Raleigh, NC 27615-4856 | 2019-05-20 |
| 1114488319 | Kimberly Pearson | Dental Hygienist | 2313 Murchison Rd, Fayetteville, NC 28301-3517 | 2019-03-29 |
| 1588170187 | Tammy Cauthen-crowder | Dental Hygienist | 205 Old Larkspur Way, Chapel Hill, NC 27516-3416 | 2017-12-18 |
| 1396282273 | Karen Thomas | Dental Hygienist | 3004 Mount Vernon Church Rd, Raleigh, NC 27613-7406 | 2017-01-30 |
| 1780126987 | Rhonda Walker | Dental Hygienist | 1013 Potomac Rd, Indian Trail, NC 28079-8489 | 2016-11-06 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
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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.