Search › Florida › Oral & Maxillofacial Surgery (D.M.D.)
Takashi Koyama, DMD, PHD FACS
NPI 1356459028 · on the registry since 2006
Practice
- Address
- 2402 Frist Blvd Ste 100
Fort Pierce, FL 34950 - Phone
- (772) 461-9700
- Fax
- (772) 461-9300
- Organisation at this address
- Florida Woman Care Llc
Gloria E Mcneil Md., Pl
Takashi Koyama Dmd Phd PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- Oral & Maxillofacial Surgery (D.M.D.)
204E00000X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-16
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 Florida