Prof. Takashi Koyama
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2402 Frist Blvd Ste 100
Fort Pierce
, Florida 34950-4838
Prof. Takashi Koyama
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
2402 Frist Blvd Ste 100
Fort Pierce
, Florida 34950-4838
(772) 461-9300
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
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
Reviews
FAQs
Where did Prof. Takashi Koyama attend graduate school?
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Where did Prof. Takashi Koyama do his fellowship?
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What type of doctor is Prof. Takashi Koyama
In what state does Prof. Takashi Koyama practice in?
Where is Prof. Takashi Koyama ’s practice located?
What is Prof. Takashi Koyama ’s gender?
Is Prof. Takashi Koyama a sole practitioner?
Is Prof. Takashi Koyama accepting new patients?
What languages does Prof. Takashi Koyama speak?
Does Prof. Takashi Koyama accept insurance?
Does Prof. Takashi Koyama offers telemedicine?
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Does Prof. Takashi Koyama have any license restrictions?
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)
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.