MEDICARE: KRISTOFFER NORBO DDS, MSD, PC, INC

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
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1124982657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISTOFFER NORBO DDS, MSD, PC, INC

Provider Business Mailing Address
First Line	:	7030 CANAL BLVD # 120
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-3410
Country	:	US
Telephone Number	:	504-420-6652
Fax Number	:	504-420-4011

Provider Business Practice Location Address
First Line	:	7030 CANAL BLVD # 120
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-3410
Country	:	US
Telephone Number	:	504-420-6652
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	KRISTOFFER NORBO
Credential	:
Telephone Number	:	504-420-6652

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Practice Location Address:

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NEW ORLEANS, LA
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Practice Fax: 504-420-4011

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