Search › Georgia › 1223X0400X
Jacob Koch, D.D.S
NPI 1639467236 · on the registry since 2011
Practice
- Address
- 55 Towler Rd Bldg B
Lawrenceville, GA 30046 - Phone
- (770) 962-9560
- Organisation at this address
- Lawrence B. Evans, Dds, Ms, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-16
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 Georgia