Organization · Type 2 NPI

Takashi Koyama DMD PHD PA

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

NPI number 1558429753 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) 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XNone listed

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…

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About NPI 1558429753

Takashi Koyama DMD PHD PA's National Provider Identifier is 1558429753, issued on Dec 4, 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 Jan 31, 2024.