Provider Demographics
NPI:1316954027
Name:KOBES, KURTIS GREGORY (DMD)
Entity type:Individual
Prefix:DR
First Name:KURTIS
Middle Name:GREGORY
Last Name:KOBES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11906 MIDDLEBURY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2520
Mailing Address - Country:US
Mailing Address - Phone:701-818-8992
Mailing Address - Fax:
Practice Address - Street 1:11906 MIDDLEBURY DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2520
Practice Address - Country:US
Practice Address - Phone:701-818-8992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC36951223G0001X
SC36951223G0001X
FLDN276331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice