Dr. Jeremy J Koppenhaver
Dentist Prosthodontist
351 W 6th Street Bldg 440
Fort Stewart
, Georgia 31314
Dr. Jeremy J Koppenhaver
Dentist Prosthodontist
351 W 6th Street Bldg 440
Fort Stewart
, Georgia 31314
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About
Features
Specialties
- Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Jeremy J Koppenhaver
- 351 W 6th Street Bldg 440
- Fort Stewart, GA
- Zip : 31314
- Phone :
Second Address
- Dr. Jeremy J Koppenhaver
- 351 W 6th Street Bldg 440
- Fort Stewart, GA
- Zip : 31314
- Phone : (912) 435-7006
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FAQs
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Is Dr. Jeremy J Koppenhaver a sole practitioner?
Is Dr. Jeremy J Koppenhaver accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DS38003 | PA |
| Y | 1223P0700X | Prosthodontist | DS038003 | PA |
National Provider Identifier
| NPI | 1043441108 |
|---|---|
| Provider Name | Dr. Jeremy J Koppenhaver |
| First Address | Fort Stewart, GA 31314 |
| Second Address | Fort Stewart, GA 31314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2009 |
| Last Update Date | 19/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.