Individual provider · Type 1 NPI

Jeremy J. Koppenhaver, DMD

Prosthodontics · Fort Stewart, GA

NPI number 1043441108 Active

Practice location

351 W 6th Street, Bldg 440
Fort Stewart, GA 31314

Call (912) 435-7006 Map

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700XDS038003 (PA)
Dentist 122300000XDS38003 (PA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1043441108

Jeremy J. Koppenhaver, DMD's National Provider Identifier is 1043441108, issued on Aug 6, 2009. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fort Stewart, GA. The record was last updated on Oct 19, 2018.