Individual provider · Type 1 NPI

Jason Mantle Koch, DMD

Dentist · St. Mary, KY

NPI number 1649459264 Active

Practice location

95 Raywick Rd
St. Mary, KY 40063-8800

Mailing address

100 Cambron Dr
Bardstown, KY 40004-2245

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X7252 (KY)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

About NPI 1649459264

Jason Mantle Koch, DMD's National Provider Identifier is 1649459264, issued on Oct 31, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Mary, KY. The record was last updated on Oct 31, 2007.