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NPI Code Detail

MEDICARE: DR. JANA M KORTJE DDS

MEDICARE: DR. JANA M KORTJE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist60786KS
21223G0001XGeneral Practice Dentistry6843NE
3122300000XDentist2011010552MO

General Provider Information

NPI Number : 1568699270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANA M KORTJE DDS
Provider Business Mailing Address
First Line : 2721 W 67TH TER
Second Line :
City : MISSION HILLS
State : KS
Zip : 66208-1849
Country : US
Telephone Number : 402-841-9387
Fax Number :
Provider Business Practice Location Address
First Line : 4746 BELLEVIEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64112-1315
Country : US
Telephone Number : 816-531-8740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2009
Last Update Date : 04/27/2018

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