Individual provider · Type 1 NPI
Gregory Leonard Koontz, DMD
Periodontics · Oceanside, CA
NPI number
1417064437
Active
Practice location
200 Mercy Circle
Oceanside, CA 92055
Mailing address
11612 Milbern Dr
Potomac, MD 20854-3522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 28850 (TX) |
| Periodontics Primary | 1223P0300X | 0401411550 (VA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1417064437
Gregory Leonard Koontz, DMD's National Provider Identifier is 1417064437, issued on Aug 24, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Oceanside, CA. The record was last updated on Jul 12, 2024.