Individual provider · Type 1 NPI
Philip Erich Koch, DMD
Oral and Maxillofacial Surgery (Dentist) · Gainesville, GA
NPI number
1023117629
Active
Practice location
1221 Sherwood Park Drive, Suite B
Gainesville, GA 30501
Fax (770) 534-8309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 8279 (GA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Gainesville
About NPI 1023117629
Philip Erich Koch, DMD's National Provider Identifier is 1023117629, issued on Sep 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gainesville, GA. The record was last updated on Mar 23, 2017.