SearchArizonaOral and Maxillofacial Surgery (Dentist)

Jeffrey Kootman, DMD

NPI 1205991858 · on the registry since 2006

Practice

Address
702 E Bell Rd
B103
Phoenix, AZ 85022
Phone
(602) 493-1140
Fax
(602) 493-5328
Organisation at this address
Im Dental Pllc
Kevin J Ortale Dds
Wee Care Dental P.C.
An Elegant Smile, P.C.
Canyon Pain Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

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 Arizona