Search › Georgia › 1223P0700X
Jeremy Koppenhaver, DMD
NPI 1043441108 · on the registry since 2009
Practice
- Address
- 351 W 6th Street
Bldg 440
Fort Stewart, GA 31314 - Phone
- (912) 435-7006
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 1223P0700X
1223P0700X
- Also registered as
- 122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia