# DR. DOMINIC ANTONIO CORTASSA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154021822
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN32475 | FL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DRPM2905 | FL | Yes |

## Other

- **Enumeration date:** 03/09/2023
- **Last updated:** 09/04/2026