Individual provider · Type 1 NPI
Jacob E. Koch, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Lawrenceville, GA
Practice location
55 Towler Rd Bldg B
Lawrenceville, GA 30046-4717
Mailing address
2401 Cranmore Ct
Snellville, GA 30078-7733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DN014246 (GA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1639467236
Jacob E. Koch, DDS's National Provider Identifier is 1639467236, issued on Jul 16, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 16, 2011.