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Audrey Kortum, DDS — NPI 1700715281, Bogalusa, LA | NPI Central

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Audrey Kortum, DDS

NPI 1700715281 · Dentist · Bogalusa, LA

Provider details

NPI number: 1700715281
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Female
Sole proprietor: No
License: 7792 (LA)

Specialties & taxonomies

DentistPrimary122300000XLicense 7792 (LA)
Dental Providers

Practice location

600 Shriners Dr

Bogalusa, LA 70427-2684

Phone: (985) 735-0078

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

5325 Fulvetta Falls Rd

Slidell, LA 70461-5242

Registry dates

Enumerated: 2026-05-19
Last updated: 2026-05-19
Certified: 2026-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.