Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin Jamboretz

Individual provider Physician Assistant · NPI 1720442387

Dustin Jamboretz is a Physician Assistant in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Sbkt Enterprises, LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2016
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Practice location Address checks out

1000 Des Peres Rd Ste 210
Saint Louis, MO 63131-2062
Phone: (314) 896-4263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1720442387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESJanuary 25, 2020
Certification dateJanuary 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sbkt Enterprises, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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