Individual provider · Type 1 NPI

Takashi Koyama, DMD, PHD FACS

Oral & Maxillofacial Surgery (D.M.D.) · Fort Pierce, FL

NPI number 1356459028 Active

Practice location

2402 Frist Blvd Ste 100
Fort Pierce, FL 34950-4838

Fax (772) 461-9300

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDN16376 (FL)
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XDN16376 (FL)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

Another provider at this address

About NPI 1356459028

Takashi Koyama, DMD, PHD FACS's National Provider Identifier is 1356459028, issued on Aug 25, 2006. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Fort Pierce, FL. The record was last updated on Jul 16, 2019.