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Contact Information

THOMAS A KORBITZ, DDS
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-368-6020
 Fax: 505-368-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THOMAS A KORBITZ · (Male)

NPI Number 1215926076
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/14/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # DD1508
  • AZ Medicaid 472118
  • CO Medicaid 95734040
  • NM Medicaid 18205305
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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