Individual provider · Type 1 NPI

Matt E. Koepke, DDS

Oral and Maxillofacial Surgery (Dentist) · Charleston, SC

NPI number 1386909109 Active

Practice location

198 Rutledge Avenue, Suite 4
Charleston, SC 29403

Fax (843) 853-5861

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4011 (WV)

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 1386909109

Matt E. Koepke, DDS's National Provider Identifier is 1386909109, issued on Jul 9, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, SC. The record was last updated on Oct 20, 2016.