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General NPI Number Information
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NPI Number | 1144979170
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Entity Type | Organization
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Legal Business Name | KRISTOFFER NORBO DDS, MSD, PC, INC
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 7030 CANAL BLVD STE 120
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City | NEW ORLEANS
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State | LA
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Zip | 70124-3410
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Country | US
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Telephone | 504-420-6652
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Fax | 504-420-4011
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Provider Business Mailing Address
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Address Line | 7030 CANAL BLVD STE 120
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City | NEW ORLEANS
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State | LA
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Zip | 70124-3410
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Country | US
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Telephone | 504-420-6652
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Fax | 504-420-4011
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Authorized Official
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Title or Position | MANAGING PEDIATRIC DENTIST
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Name | DR. KRISTOFFER NORBO
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Credential | DDS
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Telephone | 504-420-6652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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