Dr. Philip Erich Koch
Oral and Maxillofacial Surgeon
1221 Sherwood Park Drive Suite B
Gainesville
, Georgia 30501
Dr. Philip Erich Koch
Oral and Maxillofacial Surgeon
1221 Sherwood Park Drive Suite B
Gainesville
, Georgia 30501
(770) 534-8309
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Philip Erich Koch
- 1221 Sherwood Park Drive Suite B
- Gainesville, GA
- Zip : 30501
- Fax : (770) 534-8309
- Phone : (770) 534-1492
Second Address
- Dr. Philip Erich Koch
- 1221 Sherwood Park Drive Suite B
- Gainesville, GA
- Zip : 30501
- Fax : (770) 534-8309
- Phone : (770) 534-1492
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8279 | GA |
National Provider Identifier
| NPI | 1023117629 |
|---|---|
| Provider Name | Dr. Philip Erich Koch |
| First Address | Gainesville, GA 30501 |
| Second Address | Gainesville, GA 30501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 23/03/2017 |
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.