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Prof. Takashi Koyama

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

2402 Frist Blvd Ste 100
Fort Pierce , Florida 34950-4838

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Prof. Takashi Koyama

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

2402 Frist Blvd Ste 100
Fort Pierce , Florida 34950-4838

(772) 461-9300

Write a Review Save Call

Prof. Takashi Koyama

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

2402 Frist Blvd Ste 100
Fort Pierce , Florida 34950-4838

(772) 461-9300 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

2402 Frist Blvd Ste 100 Fort Pierce , Florida 34950-4838

First Address

  • Prof. Takashi Koyama
  • 2402 Frist Blvd Ste 100
  • Fort Pierce, FL
  • Zip : 34950-4838
  • Fax : (772) 461-9300
  • Phone : (772) 461-9700

Second Address

  • Prof. Takashi Koyama
  • 2402 Frist Blvd Ste 100
  • Fort Pierce, FL
  • Zip : 34950-4838
  • Fax : (772) 461-9300
  • Phone : (772) 461-9700

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FAQs


Where did Prof. Takashi Koyama attend graduate school?

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Where did Prof. Takashi Koyama do his residency?

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Where did Prof. Takashi Koyama do his fellowship?

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Is Prof. Takashi Koyama board certified?

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What type of doctor is Prof. Takashi Koyama

Oral & Maxillofacial Surgeon

In what state does Prof. Takashi Koyama practice in?

Florida

Where is Prof. Takashi Koyama ’s practice located?

2402 Frist Blvd Ste 100 , Fort Pierce, Florida, 34950-4838

What is Prof. Takashi Koyama ’s gender?

Male

Is Prof. Takashi Koyama a sole practitioner?

No

Is Prof. Takashi Koyama accepting new patients?

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What languages does Prof. Takashi Koyama speak?

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Does Prof. Takashi Koyama accept insurance?

Yes, Prof. Takashi Koyama accepts insurance

Does Prof. Takashi Koyama offers telemedicine?

Prof. Takashi Koyama has not indicated if he offers telemedicine

What is Prof. Takashi Koyama ’s professional license number?

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What is Prof. Takashi Koyama ’s NPI number?

1356459028

Does Prof. Takashi Koyama have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223S0112X Oral and Maxillofacial Surgeon DN16376 FL
Y 204E00000X Oral & Maxillofacial Surgeon DN16376 FL

National Provider Identifier

NPI 1356459028
Provider Name Prof. Takashi Koyama
First Address Fort Pierce, FL 34950-4838
Second Address Fort Pierce, FL 34950-4838
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/08/2006
Last Update Date 16/07/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
DN 16376 MEDICAL LICENSE (01) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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