Individual provider · Type 1 NPI

Audrey Bryce Kortum, DDS

Dentist · Bogalusa, LA

NPI number 1700715281 Active

Practice location

600 Shriners Dr
Bogalusa, LA 70427-2684

Mailing address

5325 Fulvetta Falls Rd
Slidell, LA 70461-5242

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X7792 (LA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Another provider at this address

Other dentist providers in Bogalusa

See all in Bogalusa →

About NPI 1700715281

Audrey Bryce Kortum, DDS's National Provider Identifier is 1700715281, issued on May 19, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bogalusa, LA. The record was last updated on May 19, 2026.