Individual
JAMES KORTBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 S DIXIE FWY, NEW SMYRNA BEACH, FL 32168-7473
(386) 424-1631
Mailing address
1111 S DIXIE FWY, NEW SMYRNA BEACH, FL 32168-7473
(386) 424-1631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22909
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2016
Last updated
11/12/2020
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