Courtney De Souza, MD

NPI 1255957163 · on the registry since 2020

Practice

Address: 1300 N Oakland Ave
Bolivar, MO 65613
Phone: (417) 326-7676
Organisation at this address: Jump Dental, Llc
Parkview Surgeons, Pc
Citizens Memorial Healthcare
Dr. Donald R. Jump Dds Inc Pc
Bolivar Smiles Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207Q00000X
Licence states on file: IL, MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri