Jennifer Lee Koch in Bethlehem - Dentist

Jennifer Lee Koch - NPI 1245450501

Jennifer Lee Koch is a Dentist in Bethlehem, Pennsylvania. Jennifer Lee Koch practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jennifer Lee Koch is 1245450501. The last update date is 2013-05-07.

Jennifer Lee Koch's current location address is 201 W Broad St, Bethlehem, Pennsylvania. You can contact this provider via phone number 6108653333 and fax number 6106917822. The mailing address for Jennifer Lee Koch is 201 W Broad St, Bethlehem, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Lee Koch
Address 201 W Broad St, Bethlehem, Pennsylvania
Phone Number 6108653333
Fax Number 6106917822
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1245450501
Provider Enumeration Date 2007-04-27
Last Updated Date 2013-05-07

Provider Mailing Address Detail

Address 201 W Broad St
City Bethlehem
State Pennsylvania (PA)
Post Code 180185517
Phone Number 6108653333
Fax Number 6106917822

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS036983
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Jennifer Lee Koch

What is the Jennifer Lee Koch's 1245450501?

The Jennifer Lee Koch's NPI (National Provider Identifier) Number is 1245450501. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jennifer Lee Koch?

The Jennifer Lee Koch is physically situated at 201 W Broad St, in the city of Bethlehem, state of PA, with the postal code 180185517.

What is the Jennifer Lee Koch's specialty and taxonomy code?

The Jennifer Lee Koch's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245450501 to Jennifer Lee Koch?

The Centers for Medicare & Medicaid Services originally issued the 1245450501 to Jennifer Lee Koch on 2007-04-27.

As of what date were the details related to Jennifer Lee Koch most recently updated or revised?

The information pertaining to Jennifer Lee Koch, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-07.

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