Individual provider · Type 1 NPI

Jeffrey Howard Kootman, DMD

Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ

NPI number 1205991858 Active

Practice location

702 E Bell Rd, B103
Phoenix, AZ 85022

Call (602) 493-1140 Map

Fax (602) 493-5328

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3369 (AZ)

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.

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About NPI 1205991858

Jeffrey Howard Kootman, DMD's National Provider Identifier is 1205991858, issued on Dec 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.